Niederee, Mark J

Niederee, Mark J is an individual health care provider with primary practice located at 1515 S Clifton Ave Ste 250 , Wichita KS 67218-2952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Niederee, Mark J can be contacted via phone (316) 686-1991.

Contact Information

Primary practice address
1515 S Clifton Ave Ste 250 Wichita KS 67218-2952
Fax: (316) 686-2309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0427729 Kansas

Profile Details

NPI number 1063419844
LBN Legal business name Niederee, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 2nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063419844 NPPES
Kansas MEDICAID 100455310A

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