Edwin Eugene Niemi, PSYCHOLOGIST is a
Psychologist based in Two Harbors, Minnesota. Edwin Eugene Niemi is licensed to practice in * (Not Available) (license number LP2144) and his current practice location is
629 1st Ave, Two Harbors, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 834-5520.
NPI number for Edwin Eugene Niemi is 1699704932 and his current mailing address is 1401 East First Street, Duluth, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699704932.
Healthcare Provider's Profile
| Full Name | Edwin Eugene Niemi |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 629 1st Ave, Two Harbors, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699704932
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 09/15/2014
Medical Identifiers
Medical identifiers for Edwin Eugene Niemi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699704932 | NPI | - | NPPES |
| 078047200 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP2144 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edwin Eugene Niemi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edwin Eugene Niemi, PSYCHOLOGIST
1401 East First Street,
Duluth, MN 55805
Ph: (218) 728-4491 | Edwin Eugene Niemi, PSYCHOLOGIST
629 1st Ave,
Two Harbors, MN 55616-1505
Ph: (218) 834-5520 |
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