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
Fax: (765) 298-4958
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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