Nickisch, Florian

Nickisch, Florian is an individual health care provider with primary practice located at 590 Wakara Way , Salt Lake City UT 84108-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Nickisch, Florian can be contacted via phone (801) 587-5486.

Contact Information

Primary practice address
590 Wakara Way Salt Lake City UT 84108-1200
Phone: (801) 587-5486
Fax: (801) 587-5411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2005-01034 North Carolina
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 6475000-1205 Utah

Profile Details

NPI number 1598748725
LBN Legal business name Nickisch, Florian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 23rd, 2021 - about 5 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 1598748725 NPPES
South Carolina MEDICAID N0103A
South Carolina MEDICAID 5901362

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