Nissen, Gerald Leray

Nissen, Gerald Leray is an sole proprietor health care provider with primary practice located at 16916 State Highway 14 , Mojave CA 93501-1226. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Radiology, Technologists, Technicians & Other Technical Service Providers / Radiography. Chiropractic Providers / Radiology is his primary health care specialty. Nissen, Gerald Leray can be contacted via phone (661) 824-9732.

Contact Information

Primary practice address
16916 State Highway 14 Mojave CA 93501-1226
Phone: (661) 824-9732
Fax: (661) 824-1638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X DC16780 California
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RHC126137 California

Profile Details

NPI number 1720018435
LBN Legal business name Nissen, Gerald Leray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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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