Niemi, Phillip W
Niemi, Phillip W is an sole proprietor health care provider with primary practice located at 550 Osborn Blvd Suite #202, Sault Sainte Marie MI 49783-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Niemi, Phillip W can be contacted via phone (906) 632-1100.Contact Information
Primary practice address
550 Osborn Blvd Suite #202
Sault Sainte Marie MI 49783-1899
Phone: (906) 632-1100
Fax: (906) 632-7768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101008398 | Michigan |
Profile Details
NPI number | 1245280130 |
---|---|
LBN Legal business name | Niemi, Phillip W |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2006 |
Last updated | Feb 16th, 2010 - about 15 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 | 1245280130 | NPPES |
Michigan | MEDICAID | 2120652 |
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