Rousse, Nathan
Rousse, Nathan is an individual health care provider with primary practice located at 217 S Madison Street , Traverse City MI 49684-2320. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Rousse, Nathan can be contacted via phone (231) 922-9270.Contact Information
Primary practice address
217 S Madison Street
Traverse City MI 49684-2320
Phone: (231) 922-9270
Fax: (231) 922-9271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704225508 | Michigan |
Profile Details
| NPI number | 1356353791 |
|---|---|
| LBN Legal business name | Rousse, Nathan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Dec 29th, 2020 - about 5 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 | 1356353791 | NPPES |
| Michigan | MEDICAID | 4952425 | |
| Michigan | MEDICAID | 4952434 |
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