Niesen, Thomas E

Niesen, Thomas E is an individual health care provider with primary practice located at 226 S Woods Mill Rd Suite 49 W, Chesterfield MO 63017-3662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Niesen, Thomas E can be contacted via phone (314) 434-1211.

Contact Information

Primary practice address
226 S Woods Mill Rd Suite 49 W Chesterfield MO 63017-3662
Phone: (314) 434-1211
Fax: (314) 434-4419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36096 Missouri

Profile Details

NPI number 1700870250
LBN Legal business name Niesen, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 12th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700870250 NPPES
Missouri MEDICAID 202260402

Popular Providers