Niespodziany, Jeff Lee

Niespodziany, Jeff Lee is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Niespodziany, Jeff Lee can be contacted via phone (574) 259-9668.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 259-9668
Fax: (574) 259-9671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000582 Indiana

Profile Details

NPI number 1548255292
LBN Legal business name Niespodziany, Jeff Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 2nd, 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 1548255292 NPPES
Indiana MEDICAID 100090240A

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