Smith, Gerry Nieman

Smith, Gerry Nieman is an sole proprietor health care provider with primary practice located at 1120 First Colonial Rd Ste 206 , Virginia Beach VA 23454-2418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Smith, Gerry Nieman can be contacted via phone (757) 496-2325.

Contact Information

Primary practice address
1120 First Colonial Rd Ste 206 Virginia Beach VA 23454-2418
Phone: (757) 496-2325
Fax: (757) 496-1942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101049815 Virginia

Profile Details

NPI number 1215991377
LBN Legal business name Smith, Gerry Nieman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Mar 6th, 2023 - about 3 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 1215991377 NPPES
Virginia Other 400020904 IRS
Virginia MEDICAID 1215991377 IRS

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