Nisi, Roderick
Nisi, Roderick is an individual health care provider with primary practice located at 1601 Medical Arts Blvd Suite 102, Anderson IN 46011-3458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nisi, Roderick can be contacted via phone (765) 298-4720.Contact Information
Primary practice address
1601 Medical Arts Blvd Suite 102
Anderson IN 46011-3458
Phone: (765) 298-4720
Fax: (765) 298-4958
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01036283 | Indiana |
Profile Details
NPI number | 1821179714 |
---|---|
LBN Legal business name | Nisi, Roderick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Nov 16th, 2016 - about 8 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 | 1821179714 | NPPES |
Kentucky | MEDICAID | 64042377 | |
Kentucky | Other | P01512511 | |
Kentucky | Other | 10004427 | |
Kentucky | MEDICAID | 100176670B | |
Kentucky | Other | 100009521 | |
Kentucky | MEDICAID | 100176670 | |
Kentucky | Other | 000000085348 |
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