Provider Demographics
NPI:1639390818
Name:NIEHAUS, FERDINAND JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:JOSEPH
Last Name:NIEHAUS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 NEEB RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1907
Mailing Address - Country:US
Mailing Address - Phone:513-451-6744
Mailing Address - Fax:513-451-0613
Practice Address - Street 1:1450 NEEB RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1907
Practice Address - Country:US
Practice Address - Phone:513-451-6744
Practice Address - Fax:513-451-0613
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35027275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine