Individual
JOHN E. NIMLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(206) 406-7565
(206) 368-3880
Mailing address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(206) 406-7565
(206) 368-3880
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD00017281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000284489
HMSA BILLING NUMBER
HI
05
—
632564-01
—
HI
Enumeration date
01/19/2007
Last updated
11/30/2012
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