Gidosh, Nicholas
Gidosh, Nicholas is an individual health care provider with primary practice located at 1124 S State St , Big Rapids MI 49307-2256. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Gidosh, Nicholas can be contacted via phone (231) 591-2020.Contact Information
Primary practice address
1124 S State St
Big Rapids MI 49307-2256
Phone: (231) 591-2020
Fax: (231) 591-3991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1881081461 |
|---|---|
| LBN Legal business name | Gidosh, Nicholas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2015 |
| Last updated | Apr 21st, 2015 - about 11 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 | 1881081461 | NPPES |
| Michigan | MEDICAID | 386005159 | |
| Michigan | Other | 900E47602 |
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