Nisen, Mollie Bea
Nisen, Mollie Bea is an individual health care provider with primary practice located at 800 Cooper St Fl 4 , Camden NJ 08102-1155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Nisen, Mollie Bea can be contacted via phone (856) 342-3040.Contact Information
Primary practice address
800 Cooper St Fl 4
Camden NJ 08102-1155
Phone: (856) 342-3040
Fax: (856) 342-3049
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61055643 | Washington |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 25MA11921500 | New Jersey |
Profile Details
NPI number | 1013412386 |
---|---|
LBN Legal business name | Nisen, Mollie Bea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2018 |
Last updated | Oct 11th, 2023 - about last year |
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 | 1013412386 | NPPES |
Washington | MEDICAID | 2104633 |
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