Nicolaou, David Darwin

Nicolaou, David Darwin is an individual health care provider with primary practice located at 550 Munson Ave , Traverse City MI 49686-3580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nicolaou, David Darwin can be contacted via phone (231) 935-8710.

Contact Information

Primary practice address
550 Munson Ave Traverse City MI 49686-3580
Phone: (231) 935-8710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D45394 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301084991 Michigan

Profile Details

NPI number 1184676181
LBN Legal business name Nicolaou, David Darwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184676181 NPPES
Michigan MEDICAID 104957619
Michigan MEDICAID 131961200
Michigan Other DN084991

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