Steward, Ian Nichols

Steward, Ian Nichols is an individual health care provider with primary practice located at 117 W Paterson St , Kalamazoo MI 49007-2557. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Steward, Ian Nichols can be contacted via phone (269) 349-2641.

Contact Information

Primary practice address
117 W Paterson St Kalamazoo MI 49007-2557
Phone: (269) 349-2641
Fax: (269) 488-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704225561 Michigan

Profile Details

NPI number 1235105016
LBN Legal business name Steward, Ian Nichols
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 30th, 2012 - about 12 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 1235105016 NPPES
Michigan MEDICAID 4841918-10

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