Nisenson, Eric Robert

Nisenson, Eric Robert is an sole proprietor health care provider with primary practice located at 3 Sedgefield Dr , Morris Plains NJ 07950-3032. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nisenson, Eric Robert can be contacted via phone (973) 539-7550.

Contact Information

Primary practice address
3 Sedgefield Dr Morris Plains NJ 07950-3032
Phone: (973) 539-7550
Fax: (973) 539-1395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00148000 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0560000179 Vermont

Profile Details

NPI number 1407992126
LBN Legal business name Nisenson, Eric Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407992126 NPPES
New Jersey MEDICAID 1742400
New Jersey MEDICAID OVN3362

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