Nissen, Neal B
Nissen, Neal B is an sole proprietor health care provider with primary practice located at 2005 Avenue L Apt. 1F, Brooklyn NY 11210-4550. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nissen, Neal B can be contacted via phone (718) 338-0015.Contact Information
Primary practice address
2005 Avenue L Apt. 1F
Brooklyn NY 11210-4550
Phone: (718) 338-0015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 033959-1 | New York |
Profile Details
| NPI number | 1376608976 |
|---|---|
| LBN Legal business name | Nissen, Neal B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376608976 | NPPES |
| New York | MEDICAID | 00412579 |
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