Dr. Derek A Niehaus
Independent Medical Examiner
1002 Spotsylvania St
New Athens
, Illinois 62264-1597
Dr. Derek A Niehaus
Independent Medical Examiner
1002 Spotsylvania St
New Athens
, Illinois 62264-1597
(618) 475-3600
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Derek A Niehaus
- 1002 Spotsylvania Street
- New Athens, IL
- Zip : 62264-1597
- Phone : (618) 475-3600
Second Address
- Dr. Derek A Niehaus
- 1002 Spotsylvania St
- New Athens, IL
- Zip : 62264-1597
- Phone : (618) 475-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | IL |
National Provider Identifier
| NPI | 1619151776 |
|---|---|
| Provider Name | Dr. Derek A Niehaus |
| First Address | New Athens, IL 62264-1597 |
| Second Address | New Athens, IL 62264-1597 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2007 |
| Last Update Date | 26/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V07373 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.