Nixon, William Russell

Nixon, William Russell is an sole proprietor health care provider with primary practice located at 300 E Maple Rd Suite 323, Birmingham MI 48009-6308. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as his primary health care specialty. Nixon, William Russell can be contacted via phone (248) 644-7368.

Contact Information

Primary practice address
300 E Maple Rd Suite 323 Birmingham MI 48009-6308
Fax: (248) 644-2901
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 002567 Michigan

Profile Details

NPI number 1568621571
LBN Legal business name Nixon, William Russell
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2008
Last updated Jun 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568621571 NPPES
Northern Mariana Islands Other 0N60160 MEDICARE PROVIDER NUMBER
Northern Mariana Islands Other 0N60160 MEDICARE PROVIDER NUMBER

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