Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 35.138282 | OH |
N | 2080P0210X | Pediatric Nephrologist | ME53540 | FL |
NPI | 1902847999 |
---|---|
Provider Name | Dr. Richard E. Neiberger |
First Address | Cleveland, OH 44106-1716 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 14/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
048900000 | (05) | FL |
A60221 | (02) |