Nielsen, Andrea

Nielsen, Andrea is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste 555 , Royal Oak MI 48073-6770. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nielsen, Andrea can be contacted via phone (248) 551-2020.

Contact Information

Primary practice address
3535 W 13 Mile Rd Ste 555 Royal Oak MI 48073-6770
Phone: (248) 551-2020
Fax: (248) 551-2267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003103 Michigan

Profile Details

NPI number 1962628479
LBN Legal business name Nielsen, Andrea
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Oct 20th, 2020 - about 6 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 1962628479 NPPES
Michigan Other 900F37491 BCBSM

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