Niehaus, Ryan

Niehaus, Ryan is an individual health care provider with primary practice located at 995 S Clarizz Blvd , Bloomington IN 47401-5588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Niehaus, Ryan can be contacted via phone (812) 353-3060.

Contact Information

Primary practice address
995 S Clarizz Blvd Bloomington IN 47401-5588
Phone: (812) 353-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02004042A Indiana

Profile Details

NPI number 1235396045
LBN Legal business name Niehaus, Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Dec 18th, 2020 - 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 1235396045 NPPES
Indiana MEDICAID 201074530

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