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MR. NICHOLAS CHILDERS
NPI 1295459204
Pedorthist in Detroit, MI

Active since October 03, 2022
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000(313) 576-1806 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Nicholas Childers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS CHILDERS (NPI 1295459204) is an individual pedorthist provider in Detroit, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1295459204
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameMR. NICHOLAS CHILDERS
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000 · Fax (313) 576-1806
Phone(313) 576-1000
Fax(313) 576-1806
Sole ProprietorNo
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1295459204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition

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.

4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA SWITZER PA
Physician Assistant
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-3319
DR. NEERAJA RAMACHANDRA M.D.
Internal Medicine
4646 JOHN R ST, VAMC
DETROIT, MI 48201
Wayne County (313) 576-4693
EDWARDO THOMAS MUNOZ CRNA
Nurse Anesthetist, Certified Registered
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
BABYSAROJINI CHIRUMAMILLA M.D
Psychiatry & Neurology (Geriatric Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DR. THOMAS M MCCULLOUGH MD
Psychiatry & Neurology (Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MS. KATHLEEN MARY COBB APRN, BC
Nurse Practitioner (Family)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MRS. DORIS FLEMING APRN.BC,CDE
Nurse Practitioner (Adult Health)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DR. PRAVEENA MUNGARA M.D
Internal Medicine
4646 JOHN R ST, JOHN D DINGELL VA MEDICAL CENTER
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions

What is Nicholas Childers's NPI number?

The NPI number assigned to this healthcare provider is 1295459204, enumerated as an "individual" on October 03, 2022.

Where is the provider located?

The provider is located at 4646 JOHN R ST DETROIT, MI 48201 and the phone number is (313) 576-1000.

What is the provider's specialty?

Pedorthist with taxonomy code 224L00000X.