Nievera, Conrad C

Nievera, Conrad C is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Nievera, Conrad C can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
400 E 5Th Ave Spokane WA 99202-1334
Phone: (509) 838-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35243 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60209370 Washington
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD60209370 Washington

Profile Details

NPI number 1346292018
LBN Legal business name Nievera, Conrad C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 9th, 2012 - about 14 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 1346292018 NPPES
Wisconsin MEDICAID 34312700
Wisconsin Other 003806261C

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