Ryan Niehaus is a Sports Medicine in Bloomington, Indiana. Ryan Niehaus practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ryan Niehaus is 1235396045. The last update date is 2020-12-18.
Ryan Niehaus's current location address is Po Box 1329, Bloomington, Indiana. You can contact this provider via phone number 8123533087 and fax number 8123535859. The mailing address for Ryan Niehaus is Po Box 1329, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Niehaus |
|---|---|
| Address | Po Box 1329, Bloomington, Indiana |
| Phone Number | 8123533087 |
| Fax Number | 8123535859 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1235396045 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2020-12-18 |
Provider Mailing Address Detail
| Address | Po Box 1329 |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474021329 |
| Phone Number | 8123533087 |
| Fax Number | 8123535859 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 02004042A |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201074530 | IN | -- |
Post Comment/ Review Below
What is the Ryan Niehaus's 1235396045?
The Ryan Niehaus's NPI (National Provider Identifier) Number is 1235396045. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ryan Niehaus is physically located?
The Ryan Niehaus is situated at the following address: Po Box 1329, Bloomington, IN 474021329.
What is the area of specialization for Ryan Niehaus, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ryan Niehaus is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Ryan Niehaus receive its 1235396045 assignment from the Centers for Medicare & Medicaid Services?
The Ryan Niehaus was assigned its 1235396045 by the Centers for Medicare & Medicaid Services on 2008-05-20.
As of what date was the information pertaining to Ryan Niehaus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ryan Niehaus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-18.