Individual
MR. PAUL HENRY NIEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A67350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A673500
BLUE SHIELD
CA
05
—
00A673500
—
CA
01
—
DB9540
RAILROAD RETIREMENT
GA
01
—
P00139012
RAILROAD MEDICARE PROVIDE
CA
Enumeration date
09/06/2006
Last updated
10/27/2023
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