Nieberg, Paul Henry

Nieberg, Paul Henry is an individual health care provider with primary practice located at 960 E Green St Ste 105 , Pasadena CA 91106-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Nieberg, Paul Henry can be contacted via phone (626) 304-0782.

Contact Information

Primary practice address
960 E Green St Ste 105 Pasadena CA 91106-2443
Fax: (626) 310-0552
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A67350 California

Profile Details

NPI number 1902909187
LBN Legal business name Nieberg, Paul Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 27th, 2023 - about 2 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 1902909187 NPPES
Georgia Other DB9540 RAILROAD RETIREMENT
Georgia MEDICAID 00A673500 RAILROAD RETIREMENT
Georgia Other P00139012 RAILROAD RETIREMENT
Georgia Other 00A673500 RAILROAD RETIREMENT

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