Nissen, Carl W

Nissen, Carl W is an individual health care provider with primary practice located at 195 Eastern Blvd , Glastonbury CT 06033-4312. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nissen, Carl W can be contacted via phone (860) 527-7161.

Contact Information

Primary practice address
195 Eastern Blvd Glastonbury CT 06033-4312
Phone: (860) 527-7161
Fax: (860) 652-8410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 033613 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 33613 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 033613 Connecticut

Profile Details

NPI number 1982601530
LBN Legal business name Nissen, Carl W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 11th, 2019 - about 5 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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