MEDICARE: DR. FERDINAND JOSEPH NIEHAUS JR. M.D.

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
1	207Q00000X	Family Medicine Physician	35027275	OH

General Provider Information

NPI Number	:	1639390818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERDINAND JOSEPH NIEHAUS JR. M.D.

Provider Business Mailing Address
First Line	:	1450 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-1907
Country	:	US
Telephone Number	:	513-451-6744
Fax Number	:	513-451-0613

Provider Business Practice Location Address
First Line	:	1450 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-1907
Country	:	US
Telephone Number	:	513-451-6744
Fax Number	:	513-451-0613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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