Mahoney, Nicole L

Mahoney, Nicole L is an individual health care provider with primary practice located at 43097 Woodward Ave Ste 201, Bloomfield Hills MI 48302-5041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mahoney, Nicole L can be contacted via phone (248) 454-9000.

Contact Information

Primary practice address
43097 Woodward Ave Ste 201 Bloomfield Hills MI 48302-5041
Phone: (248) 454-9000
Fax: (248) 454-9100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43010083001 Michigan

Profile Details

NPI number 1881745271
LBN Legal business name Mahoney, Nicole L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 30th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881745271 NPPES
Michigan Other 350F361320 BCBSM
Michigan MEDICAID 4592222 BCBSM

Popular Providers