Nieman, Bobby Gordon

Nieman, Bobby Gordon is an sole proprietor health care provider with primary practice located at 1500 Norwood Dr Ste 205B , Hurst TX 76054-3644. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Nieman, Bobby Gordon can be contacted via phone (817) 729-6333.

Contact Information

Primary practice address
1500 Norwood Dr Ste 205B Hurst TX 76054-3644
Phone: (817) 729-6333
Fax: (817) 282-1683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11725 Texas

Profile Details

NPI number 1558456913
LBN Legal business name Nieman, Bobby Gordon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 13th, 2008 - 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 1558456913 NPPES
Texas MEDICAID LP0008546
Texas Other 221762
Texas Other 2253LC

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