Nieten, Jerry Gene

Nieten, Jerry Gene is an sole proprietor health care provider with primary practice located at 12558 E 191St St , Noblesville IN 46060-6704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nieten, Jerry Gene can be contacted via phone (317) 773-5202.

Contact Information

Primary practice address
12558 E 191St St Noblesville IN 46060-6704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7047 Indiana

Profile Details

NPI number 1770785461
LBN Legal business name Nieten, Jerry Gene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
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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