Nieberding, Paul H

Nieberding, Paul H is an individual health care provider with primary practice located at 1170 Balclutha Dr , Foster City CA 94404-1751. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nieberding, Paul H can be contacted via phone (650) 573-7512.

Contact Information

Primary practice address
1170 Balclutha Dr Foster City CA 94404-1751
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C21589 California

Profile Details

NPI number 1548262454
LBN Legal business name Nieberding, Paul H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 27th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548262454 NPPES
California MEDICAID 00C215890

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