Nicholson, Michael

Nicholson, Michael is an individual health care provider with primary practice located at 1428 S Lapeer Rd , Lake Orion MI 48360-1437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nicholson, Michael can be contacted via phone (248) 693-0543.

Contact Information

Primary practice address
1428 S Lapeer Rd Lake Orion MI 48360-1437
Phone: (248) 693-0543
Fax: (248) 693-3683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301068186 Michigan

Profile Details

NPI number 1942241633
LBN Legal business name Nicholson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 14th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942241633 NPPES
Michigan MEDICAID 4705424

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