Clarence L Nicodemus PHD DO

  • NPI 1063690535
According to our database, the NPI number for Clarence L Nicodemus PHD DO is 1063690535 and activated since 16 years ago. Clarence L Nicodemus PHD DO is an individual provider who specializes in Neuromusculoskeletal Medicine & OMM, and the primary practice location is 4660 S Hagadorn Rd, East Lansing, MI 48823. You can also contact Clarence L Nicodemus PHD DO via telephone number is (517) 432-6144. Provider NPI information was last updated on 06/07/2021.

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Overview of Clarence L Nicodemus PHD DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/06/2008
  • Last updated: 06/07/2021

Primary Scrop of Practice

  • Taxonomy Code: 204D00000X
  • Specialty: Neuromusculoskeletal Medicine & OMM
  • License Number: 20A10296
  • License State: CA

Provider Mailing Address

  • Address: 804 Service Rd Ste A109b
    East Lansing, MI 48824
  • Phone: 517-884-2976
  • Fax: 517-432-3928

Provider Practice Location

  • Address: 4660 S Hagadorn Rd
    Suite 500
    East Lansing, MI 48823
  • Phone: 517-432-6144
  • Fax: 517-432-6150

Scope of Practice

  • Taxonomy Code: 204D00000X
  • Specialty: Neuromusculoskeletal Medicine & OMM
  • License Number: 5101016107
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1063690535
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clarence L Nicodemus PHD DO?
  • A: The npi number for Clarence L Nicodemus PHD DO is 1063690535.
  • Q: What are Clarence L Nicodemus PHD DO's specialties?
  • A: Clarence L Nicodemus PHD DO's specialties are Neuromusculoskeletal Medicine & OMM and different specialities.
  • Q: What is the medical license for Clarence L Nicodemus PHD DO?
  • A: The medical license number for Clarence L Nicodemus PHD DO is 20A10296 and issued in CA in USA.
  • Q: Where is Clarence L Nicodemus PHD DO practice location?
  • A: Clarence L Nicodemus PHD DO is practicing at 4660 S Hagadorn Rd, East Lansing, MI 48823.
  • Q: How to contact Clarence L Nicodemus PHD DO?
  • A: You can contact Clarence L Nicodemus PHD DO via 517-432-6144.