Nietz, Jeremy D

Nietz, Jeremy D is an individual health care provider with primary practice located at 1 Veterans Dr , Minneapolis MN 55417-2309. He 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 / Medical is his primary health care specialty. Nietz, Jeremy D can be contacted via phone (612) 725-2000.

Contact Information

Primary practice address
1 Veterans Dr Minneapolis MN 55417-2309
Phone: (612) 725-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9489 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9489 Minnesota

Profile Details

NPI number 1780655472
LBN Legal business name Nietz, Jeremy D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 30th, 2010 - about 15 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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