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Contact Information

NICK COOLIDGE, PA-C
1140 E MICHIGAN AVE STE 200
LANSING, MI48912-1806
 Phone: 517-364-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for NICK COOLIDGE · (Male)

NPI # 1194105221
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/03/2015
Last updated 09/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5315244432
  • NC License # 0010-09447
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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