Nissen, Phillip Craig

Nissen, Phillip Craig is an sole proprietor health care provider with primary practice located at 1H Circle Drive , Perry Point MD 21902. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nissen, Phillip Craig can be contacted via phone (410) 642-2411.

Contact Information

Primary practice address
1H Circle Drive Perry Point MD 21902
Fax: (410) 642-1852
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 03563 Maryland

Profile Details

NPI number 1720173180
LBN Legal business name Nissen, Phillip Craig
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 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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