Nienke, Thomas

Nienke, Thomas is an individual health care provider with primary practice located at 5880 49Th St N Ste N-104 , St Petersburg FL 33709-2150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Nienke, Thomas can be contacted via phone (727) 528-6100.

Contact Information

Primary practice address
5880 49Th St N Ste N-104 St Petersburg FL 33709-2150
Phone: (727) 528-6100
Fax: (727) 528-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X OS12013 Florida

Profile Details

NPI number 1194976860
LBN Legal business name Nienke, Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Mar 17th, 2018 - about 8 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 1194976860 NPPES
Florida Other HI139Y MEDICARE PTAN
Florida MEDICAID 008659300 MEDICARE PTAN

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