Brisso, Mark A
Brisso, Mark A is an individual health care provider with primary practice located at 1600 S 48Th St Neonatolgy, Lincoln NE 68506-1283. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Brisso, Mark A can be contacted via phone (402) 481-7333.Contact Information
Primary practice address
1600 S 48Th St Neonatolgy
Lincoln NE 68506-1283
Phone: (402) 481-7333
Fax: (402) 481-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10802 | Nebraska |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 21523 | Nebraska |
Profile Details
| NPI number | 1609897248 |
|---|---|
| LBN Legal business name | Brisso, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609897248 | NPPES |
| Kansas | MEDICAID | 200379810A | |
| Kansas | MEDICAID | 470780857 02 |
Popular Providers
-
Hawk, Bobbi J
555 S 70Th St , Lincoln NE 68510-2462 -
Zauk, Adel M
703 Main St , Paterson NJ 07503-2621 -
Menken, Gregory E
703 Main St , Paterson NJ 07503-2621 -
Wilson, Bernard J
555 S 70Th St , Lincoln NE 68510-2462 -
Sitzman, Craig James
1600 S 48Th St , Lincoln NE 68506 -
Thompson, Jeffrey E
1836 South Ave , La Crosse WI 54601-5429 -
Owusu-Ansah, Albert Kofi
1600 S 48Th St Neonatology, Lincoln NE 68506-1283 -
Suarez, Alberto
95 E Fairway Dr , Covington LA 70433-7500