Niemiec, Joanna M

Niemiec, Joanna M is an individual health care provider with primary practice located at 612 Roxbury Road , Rockford IL 61107-5089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Niemiec, Joanna M can be contacted via phone (815) 227-8300.

Contact Information

Primary practice address
612 Roxbury Road Rockford IL 61107-5089
Fax: (815) 227-8301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036110673 Illinois

Profile Details

NPI number 1821016791
LBN Legal business name Niemiec, Joanna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 2009 - 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 1821016791 NPPES
Illinois MEDICAID 036110673
Illinois MEDICAID 34766600

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