Niederee, David Wayne

Niederee, David Wayne is an individual health care provider with primary practice located at 1101 N Rock Rd , Derby KS 67037-3735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Niederee, David Wayne can be contacted via phone (316) 788-6963.

Contact Information

Primary practice address
1101 N Rock Rd Derby KS 67037-3735
Phone: (316) 788-6963
Fax: (316) 788-5373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-20172 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 04-20172 Kansas

Profile Details

NPI number 1306855069
LBN Legal business name Niederee, David Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 25th, 2007 - about 18 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 1306855069 NPPES
Kansas Other 057436 BC/BS

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