Niesen, Jennifer Fern

Niesen, Jennifer Fern is an individual health care provider with primary practice located at 1005 Bellefontaine Ave Suite 175, Lima OH 45804-2851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Niesen, Jennifer Fern can be contacted via phone (419) 227-2727.

Contact Information

Primary practice address
1005 Bellefontaine Ave Suite 175 Lima OH 45804-2851
Phone: (419) 227-2727
Fax: (419) 227-2737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9005 Ohio

Profile Details

NPI number 1497806897
LBN Legal business name Niesen, Jennifer Fern
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497806897 NPPES
Ohio MEDICAID 2774387

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