MR. NICHOLAS CHILDERS NPI 1295459204

NPI Information

NPI: 1295459204
Provider Name: MR. NICHOLAS CHILDERS
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
4646 JOHN R ST
DETROIT, MI
ZIP 48201
Phone: (313) 576-1000
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MR. Nicholas Childers is a pedorthist in Detroit, MI. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MR. Nicholas Childers NPI is 1295459204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4646 JOHN R ST
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-1000
Fax: (313) 576-1806

The enumeration date for this NPI number is 10/3/2022 and was last updated on 10/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224L00000X	Pedorthist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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