Matsumoto, Andrea Nikko

Matsumoto, Andrea Nikko is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Matsumoto, Andrea Nikko can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X 4704306565 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704306565 Michigan

Profile Details

NPI number 1619536935
LBN Legal business name Matsumoto, Andrea Nikko
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jul 11th, 2019 - about 7 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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