1 SapherCheck records found for Person Ethan nydorf
1. Ethan Nydorf
| Sector |
PHYSICIAN
|
|---|---|
| Profile Type | PERSON |
| Name |
ETHAN NYDORF
|
| First Name |
ETHAN
|
| Last Name |
NYDORF
|
| Country |
UNITED STATES
|
| First Seen | 2024-09-23 |
| Last Seen | 2024-10-25 |
| Last Change | 2024-09-23 |
| Npi Code |
1174601207
|
| Datasets |
US MICHIGAN MEDICAID SANCTIONED PROVIDER LIST
|
| Address |
WEST BLOOMFIELD, MI
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US Michigan Medicaid Sanctioned Provider List |
| Sanction First Seen | 2024-09-23 |
| Sanction Last Change | 2024-09-23 |
| Sanction Last Seen | 2024-10-25 |
| Sanction Properties |
Authority:
Michigan Department of Health & Human Services Start Date: 2019-01-16 Country: United States Entity: us-medmi-4bf625fa50e9c4b83df49eecd2c68e0496ff1e6a Reason: Suspended Source URL: https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/list-of-sanctioned-providers |