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NPI Code Detail

MEDICARE: ALISON RENEE NIEMEYER DPM

MEDICARE: ALISON RENEE NIEMEYER DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist59.000217OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CB6624OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568606093
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON RENEE NIEMEYER DPM
Provider Business Mailing Address
First Line : 1138 WEST HIGH STREET
Second Line :
City : LIMA
State : OH
Zip : 45805-2725
Country : US
Telephone Number : 419-225-2726
Fax Number : 419-228-9909
Provider Business Practice Location Address
First Line : 1138 WEST HIGH STREET
Second Line :
City : LIMA
State : OH
Zip : 45805-2725
Country : US
Telephone Number : 419-225-2726
Fax Number : 419-228-9909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 03/22/2019

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