Provider Demographics
NPI:1902257181
Name:RAMSEY, NICHOLAS D
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:D
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25645 KILREIGH DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1552
Mailing Address - Country:US
Mailing Address - Phone:313-575-2591
Mailing Address - Fax:248-436-6874
Practice Address - Street 1:25645 KILREIGH DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1552
Practice Address - Country:US
Practice Address - Phone:313-575-2591
Practice Address - Fax:248-436-6874
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIR520630157239347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle