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Contact Information

CONRAD C NIEVERA JR, MD
400 E 5TH AVE
SPOKANE, WA99202-1334
 Phone: 509-838-2531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CONRAD C NIEVERA JR · (Male)

NPI # 1346292018
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 10/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD60209370
  • WI License # 35243
  • WI Medicaid 34312700
  • Other 003806261C HUMANA
Hospital affiliation(s)
  • DEACONESS HOSPITAL - (Acute Care)
    W 800 FIFTH AVENUE
    SPOKANE, WA 99210
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
  • SPEARFISH REGIONAL HOSPITAL - (Acute Care)
    1440 N MAIN ST
    SPEARFISH, SD 57783
  • STURGIS REGIONAL HOSPITAL - (Critical Access)
    949 HARMON STREET
    STURGIS, SD 57785
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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