Nordenstam, Johan Fredrik

Nordenstam, Johan Fredrik is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Nordenstam, Johan Fredrik can be contacted via phone (352) 265-0169.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4795
Phone: (352) 265-0169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MFC1849 Florida
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036.133844 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X MFC1849 Florida

Profile Details

NPI number 1952614265
LBN Legal business name Nordenstam, Johan Fredrik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Nov 2nd, 2021 - about 4 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 1952614265 NPPES
Illinois MEDICAID 036.133844

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