Nieto, Jose M
Nieto, Jose M is an individual health care provider with primary practice located at 4200 Sun N Lake Blvd , Sebring FL 33872-1986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nieto, Jose M can be contacted via phone (863) 402-3103.Contact Information
Primary practice address
4200 Sun N Lake Blvd
Sebring FL 33872-1986
Phone: (863) 402-3103
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 20A8097 | California |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | OS10072 | Florida |
Profile Details
NPI number | 1225190002 |
---|---|
LBN Legal business name | Nieto, Jose M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2006 |
Last updated | Feb 8th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225190002 | NPPES |
Florida | MEDICAID | 279200100 | |
Florida | Other | 16365 |
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