Niess, Dennis Richard

Niess, Dennis Richard is an individual health care provider with primary practice located at 20 Medical Park Suite 306, Wheeling WV 26003-6390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Niess, Dennis Richard can be contacted via phone (304) 243-7030.

Contact Information

Primary practice address
20 Medical Park Suite 306 Wheeling WV 26003-6390
Fax: (304) 243-4282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12719 West Virginia

Profile Details

NPI number 1184625691
LBN Legal business name Niess, Dennis Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 18 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 1184625691 NPPES
Ohio Other 55068028400 OHIO BWC
Ohio Other 12719D OHIO BWC
Ohio MEDICAID 0530027 OHIO BWC

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