Niese, James L

Niese, James L is an individual health care provider with primary practice located at 100 Progressive Dr , Columbus Grove OH 45830-9620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Niese, James L can be contacted via phone (419) 659-6010.

Contact Information

Primary practice address
100 Progressive Dr Columbus Grove OH 45830-9620
Phone: (419) 659-6010
Fax: (419) 659-6012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.15991-NP Ohio

Profile Details

NPI number 1891100376
LBN Legal business name Niese, James L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Apr 25th, 2016 - about 8 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 1891100376 NPPES
Ohio MEDICAID H376411

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