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Contact Information

JESSE M NIEDERKLEIN, DO
1 MT. CARMEL WAY
PITTSBURG, KS66762
 Phone: 620-231-6100
 Fax: 620-231-0081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JESSE M NIEDERKLEIN · (Male)

NPI # 1710219225
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/08/2010
Last updated 02/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 4543
  • OK License # 4543
  • KS Medicaid 200654320A
Hospital affiliation(s)
  • VIA CHRISTI HOSPITAL PITTSBURG INC - (Acute Care)
    1 MT CARMEL WAY
    PITTSBURG, KS 66762
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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