Niehaus, Michael J

Niehaus, Michael J is an individual health care provider with primary practice located at 1223 S Gear Ave Ste 202, West Burlington IA 52655-1685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Niehaus, Michael J can be contacted via phone (319) 768-4350.

Contact Information

Primary practice address
1223 S Gear Ave Ste 202 West Burlington IA 52655-1685
Fax: (319) 768-4355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23646 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 21014 Iowa

Profile Details

NPI number 1992764096
LBN Legal business name Niehaus, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 7th, 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 1992764096 NPPES
Iowa MEDICAID 0085811
Iowa Other C01404
Iowa MEDICAID 1023564
Iowa Other 70237
Iowa Other 020013500
Iowa MEDICAID 19927674096
Iowa Other P00424584

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