Nissen, Rick Lee
Nissen, Rick Lee is an sole proprietor health care provider with primary practice located at 8714 Lyndale Ave S , Minneapolis MN 55420-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Nissen, Rick Lee can be contacted via phone (952) 948-9695.Contact Information
Primary practice address
8714 Lyndale Ave S
Minneapolis MN 55420-2738
Phone: (952) 948-9695
Fax: (952) 948-9086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 30501 | Minnesota |
Profile Details
| NPI number | 1306842711 |
|---|---|
| LBN Legal business name | Nissen, Rick Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 25th, 2013 - about 11 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 | 1306842711 | NPPES |
| Minnesota | MEDICAID | 397082500 |
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