Niemann, Jeffrey M

Niemann, Jeffrey M is an individual health care provider with primary practice located at 1367 Dominion Plz , Tyler TX 75703-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Niemann, Jeffrey M can be contacted via phone (903) 534-6200.

Contact Information

Primary practice address
1367 Dominion Plz Tyler TX 75703-1013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X K7360 Texas

Profile Details

NPI number 1811926785
LBN Legal business name Niemann, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 22nd, 2008 - about 16 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 1811926785 NPPES
Texas Other 070015117 RAILROAD MEDICARE PTAN
Texas MEDICAID 117712302 RAILROAD MEDICARE PTAN
Texas Other 8A2680 RAILROAD MEDICARE PTAN

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