Nietert, Doris B

Nietert, Doris B is an sole proprietor health care provider with primary practice located at 100 Spalding Dr Suite 206, Naperville IL 60540-6550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nietert, Doris B can be contacted via phone (630) 355-6996.

Contact Information

Primary practice address
100 Spalding Dr Suite 206 Naperville IL 60540-6550
Fax: (630) 355-0026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-083727 Illinois

Profile Details

NPI number 1942283759
LBN Legal business name Nietert, Doris B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2005
Last updated Jun 2nd, 2016 - about 9 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 1942283759 NPPES
Illinois MEDICAID 036-083727

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