Nie, Zetan
Nie, Zetan is an sole proprietor health care provider with primary practice located at 616 N Garfield Ave Ste 100 , Monterey Park CA 91754-1153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nie, Zetan can be contacted via phone (626) 288-6888.Contact Information
Primary practice address
616 N Garfield Ave Ste 100
Monterey Park CA 91754-1153
Phone: (626) 288-6888
Fax: (626) 236-5658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C55996 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9916 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 154266 | Massachusetts |
Profile Details
| NPI number | 1477554905 |
|---|---|
| LBN Legal business name | Nie, Zetan |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477554905 | NPPES |
| Massachusetts | MEDICAID | 3181031 | |
| Massachusetts | Other | J18875 |
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