Niemeyer, James T

Niemeyer, James T is an individual health care provider with primary practice located at 250 E Maple St , New Lenox IL 60451-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Niemeyer, James T can be contacted via phone (815) 485-0760.

Contact Information

Primary practice address
250 E Maple St New Lenox IL 60451-1871
Fax: (815) 463-6138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036084801 Illinois

Profile Details

NPI number 1396742466
LBN Legal business name Niemeyer, James T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 15th, 2012 - about 12 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 1396742466 NPPES
Illinois MEDICAID 036084801

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