Nierenberg, Marie G

Nierenberg, Marie G is an individual health care provider with primary practice located at 202 State St , North Haven CT 06473-2207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nierenberg, Marie G can be contacted via phone (203) 239-4274.

Contact Information

Primary practice address
202 State St North Haven CT 06473-2207
Phone: (203) 239-4274
Fax: (203) 239-4290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006402 Connecticut

Profile Details

NPI number 1316053200
LBN Legal business name Nierenberg, Marie G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 12th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316053200 NPPES
Connecticut MEDICAID 004263878

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