Gencheff, Nelson Eric

Gencheff, Nelson Eric is an individual health care provider with primary practice located at 1414 West Fair Avenue Suite 334, Marquette MI 49855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gencheff, Nelson Eric can be contacted via phone (906) 225-3870.

Contact Information

Primary practice address
1414 West Fair Avenue Suite 334 Marquette MI 49855
Phone: (906) 225-3870
Fax: (906) 225-4861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101009341 Michigan

Profile Details

NPI number 1073557435
LBN Legal business name Gencheff, Nelson Eric
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 22nd, 2013 - about 13 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 1073557435 NPPES
Wisconsin MEDICAID 30054000
Wisconsin Other 060029051
Wisconsin MEDICAID 3090816
Wisconsin Other 0655200055

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