Nienke, Thomas
Nienke, Thomas is an individual health care provider with primary practice located at 5880 49Th St N Ste N-104 , St Petersburg FL 33709-2150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Nienke, Thomas can be contacted via phone (727) 528-6100.Contact Information
Primary practice address
5880 49Th St N Ste N-104
St Petersburg FL 33709-2150
Phone: (727) 528-6100
Fax: (727) 528-7895
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | OS12013 | Florida |
Profile Details
NPI number | 1194976860 |
---|---|
LBN Legal business name | Nienke, Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2008 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194976860 | NPPES |
Florida | Other | HI139Y | MEDICARE PTAN |
Florida | MEDICAID | 008659300 | MEDICARE PTAN |
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