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:
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Health care specialties

SpecialtyCodeLicense #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 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306842711 NPPES
Minnesota MEDICAID 397082500

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