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
Fax: (906) 632-7768
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245280130 NPPES
Michigan MEDICAID 2120652

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