Rader, Nicholas Robert

Rader, Nicholas Robert is an individual health care provider with primary practice located at 30 N Emerson Ave , Greenwood IN 46143-8895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rader, Nicholas Robert can be contacted via phone (317) 881-3937.

Contact Information

Primary practice address
30 N Emerson Ave Greenwood IN 46143-8895
Phone: (317) 881-3937
Fax: (317) 887-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01026346A Indiana

Profile Details

NPI number 1912990144
LBN Legal business name Rader, Nicholas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 1st, 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 1912990144 NPPES
Indiana MEDICAID 100153400
Indiana Other 000000011607
Indiana Other 0004361323
Indiana Other 180044026
Indiana Other 154807
Indiana Other 000000011607
Indiana Other 000000214825
Indiana Other 352129520

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