Nienhouse, Jonathan Paul

Nienhouse, Jonathan Paul is an sole proprietor health care provider with primary practice located at 6685 Gunpark Dr Suite 102, Boulder CO 80301-3388. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nienhouse, Jonathan Paul can be contacted via phone (303) 415-5199.

Contact Information

Primary practice address
6685 Gunpark Dr Suite 102 Boulder CO 80301-3388
Phone: (303) 415-5199
Fax: (303) 415-5198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0003741-NP Colorado

Profile Details

NPI number 1841388402
LBN Legal business name Nienhouse, Jonathan Paul
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Nov 9th, 2017 - about 7 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 1841388402 NPPES
Colorado MEDICAID 24231860

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