Nickisch, Florian
Nickisch, Florian is an individual health care provider with primary practice located at 590 Wakara Way , Salt Lake City UT 84108-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Nickisch, Florian can be contacted via phone (801) 587-5486.Contact Information
Primary practice address
590 Wakara Way
Salt Lake City UT 84108-1200
Phone: (801) 587-5486
Fax: (801) 587-5411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2005-01034 | North Carolina |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 6475000-1205 | Utah |
Profile Details
| NPI number | 1598748725 |
|---|---|
| LBN Legal business name | Nickisch, Florian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Nov 23rd, 2021 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598748725 | NPPES |
| South Carolina | MEDICAID | N0103A | |
| South Carolina | MEDICAID | 5901362 |
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