Fierce, Nathan Michael
Fierce, Nathan Michael is an individual health care provider with primary practice located at 870 36Th Ave , Moline IL 61265-7159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fierce, Nathan Michael can be contacted via phone (309) 281-6400.Contact Information
Primary practice address
870 36Th Ave
Moline IL 61265-7159
Phone: (309) 281-6400
Fax: (309) 281-6409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4206 | Iowa |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036.127839 | Illinois |
Profile Details
| NPI number | 1639355134 |
|---|---|
| LBN Legal business name | Fierce, Nathan Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Jul 6th, 2022 - about 3 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 | 1639355134 | NPPES |
| Illinois | Other | P01170092 | RR MEDICARE |
| Illinois | MEDICAID | 1639355134 | RR MEDICARE |
| Illinois | Other | P01066005 | RR MEDICARE |
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