Niess, Gary S

Niess, Gary S is an individual health care provider with primary practice located at 1718 E 4Th St Suite 501, Charlotte NC 28204-3261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Niess, Gary S can be contacted via phone (704) 343-9800.

Contact Information

Primary practice address
1718 E 4Th St Suite 501 Charlotte NC 28204-3261
Phone: (704) 343-9800
Fax: (704) 347-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 18692 North Carolina

Profile Details

NPI number 1720088826
LBN Legal business name Niess, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 25th, 2020 - about 4 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 1720088826 NPPES
South Carolina MEDICAID N18692
South Carolina MEDICAID 8962674

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