Nieman, Robert

Nieman, Robert is an sole proprietor health care provider with primary practice located at 1320 8Th St Ne Ste 102 , Auburn WA 98002-4589. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nieman, Robert can be contacted via phone (253) 939-1863.

Contact Information

Primary practice address
1320 8Th St Ne Ste 102 Auburn WA 98002-4589
Fax: (253) 939-5220
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00005300 Washington

Profile Details

NPI number 1831212349
LBN Legal business name Nieman, Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 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 1831212349 NPPES
Washington MEDICAID 5779103

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