Nucum, Antonio H
Nucum, Antonio H is an sole proprietor health care provider with primary practice located at 5528 Metropolitan Pkwy , Sterling Heights MI 48310-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nucum, Antonio H can be contacted via phone (586) 795-3232.Contact Information
Primary practice address
5528 Metropolitan Pkwy
Sterling Heights MI 48310-4105
Phone: (586) 795-3232
Fax: (586) 795-5540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101010760 | Michigan |
Profile Details
| NPI number | 1164431540 |
|---|---|
| LBN Legal business name | Nucum, Antonio H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 4th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164431540 | NPPES |
| Michigan | MEDICAID | 4732548 |
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