National Provider Identifier Database

TARA R NIEBERDING
Customized Equipment


Contact Information

TARA R NIEBERDING
1701 QUINCY AVE STE 12
NAPERVILLE, IL60540
Phone: 440-465-7322
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Contractor 171W00000X
Home Modifications 171WH0202X
Vehicle Modifications 171WV0202X

* Indicates primary specialty

NPI Profile & details for TARA R NIEBERDING

NPI Number 1225528524
Credentials
Entity Individual
Enumeration date 05/14/2018
Last updated 07/10/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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