Absalom, Nicholas Michael

Absalom, Nicholas Michael is an individual health care provider with primary practice located at 7259 S Bingham Junction Blvd , Midvale UT 84047-4860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Absalom, Nicholas Michael can be contacted via phone (801) 264-6400.

Contact Information

Primary practice address
7259 S Bingham Junction Blvd Midvale UT 84047-4860
Phone: (801) 264-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MC-0602 Idaho
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2020003928 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD185800 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 310721 Louisiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME134160 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X P0329 Texas

Profile Details

NPI number 1770744112
LBN Legal business name Absalom, Nicholas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Nov 29th, 2022 - 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 1770744112 NPPES
New Hampshire MEDICAID 3115814

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