person
Perinjit K Niehaus, PA-C
Surgical Physician Assistant in Bloomington, Indiana
NPI 1093170557

Perinjit K Niehaus is a Surgical Physician Assistant based in Bloomington, IN and is specialized in Surgical. Perinjit K Niehaus practices in Bloomington, IN and has the professional credentials of PA-C. The NPI Number for Perinjit K Niehaus is 1093170557 and holds a License No. 10001960A (Indiana).

The current practice location address for Perinjit K Niehaus is 2605 E Creeks Edge Dr, Bloomington, IN and can be reached out via phone at 812-333-2663 and via fax at 812-676-4131.

Location: 2605 E Creeks Edge Dr, Bloomington, IN, 47402-1329
person
Provider Profile Details
NPI Number
1093170557
Provider Name
Perinjit K Niehaus
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2605 E Creeks Edge Dr, Bloomington, IN, 47402-1329
Phone Number
812-333-2663
Fax Number
812-676-4131
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090540385 01 IN MEDICARE PTAN
264430390 01 IN MEDICARE PTAN
074790025 01 IN MEDICARE PTAN
300005603 05 IN
Q00295359 01 IN RAILROAD PTAN
institution
Provider Business Practice Location Address Details
Address
2605 E Creeks Edge Dr
City
State
Zip
47401-8368
Phone Number
812-333-2663
Fax Number
812-676-4131
person
Provider Business Mailing Address Details
Address
2605 E Creeks Edge Dr
City
State
Zip
47401-8368
Phone Number
812-333-2663
Fax Number
812-676-4131
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10001960A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10001960A (Indiana)
Definition
Definition to come...
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