Nordhauser, Micaela

Nordhauser, Micaela is an individual health care provider with primary practice located at 7B Johnson Rd , Latham NY 12110-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Nordhauser, Micaela can be contacted via phone (518) 782-7733.

Contact Information

Primary practice address
7B Johnson Rd Latham NY 12110-3003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 179338 New York

Profile Details

NPI number 1730138330
LBN Legal business name Nordhauser, Micaela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 19th, 2018 - about 6 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 1730138330 NPPES
Other 10001482 CDPHP
MEDICAID 00179338 CDPHP
Other 18CAB1 CDPHP
Other 26028 CDPHP
Other 7048276 CDPHP
MEDICAID 01699889 CDPHP

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