Nissley, Lance
Nissley, Lance is an sole proprietor health care provider with primary practice located at 300 W Hospital Rd , Fort Eisenhower GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nissley, Lance can be contacted via phone (706) 787-5811.Contact Information
Primary practice address
300 W Hospital Rd
Fort Eisenhower GA 30905-5741
Phone: (706) 787-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS020413 | Pennsylvania |
Profile Details
| NPI number | 1164919676 |
|---|---|
| LBN Legal business name | Nissley, Lance |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Jun 13th, 2023 - about last year |
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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