Niehaus, Perinjit K
Niehaus, Perinjit K is an individual health care provider with primary practice located at 2605 E Creeks Edge Dr , Bloomington IN 47401-8368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Niehaus, Perinjit K can be contacted via phone (812) 333-2663.Contact Information
Primary practice address
2605 E Creeks Edge Dr
Bloomington IN 47401-8368
Phone: (812) 333-2663
Fax: (812) 676-4131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10001960A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10001960A | Indiana |
Profile Details
| NPI number | 1093170557 |
|---|---|
| LBN Legal business name | Niehaus, Perinjit K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2015 |
| Last updated | Aug 7th, 2023 - about 3 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 | 1093170557 | NPPES |
| Indiana | Other | 090540385 | MEDICARE PTAN |
| Indiana | Other | 264430390 | MEDICARE PTAN |
| Indiana | Other | 074790025 | MEDICARE PTAN |
| Indiana | MEDICAID | 300005603 | MEDICARE PTAN |
| Indiana | Other | Q00295359 | MEDICARE PTAN |
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