Nusbaum, Edward Daniel

Nusbaum, Edward Daniel is an individual health care provider with primary practice located at 403 E Madison St , South Bend IN 46617-2322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Nusbaum, Edward Daniel can be contacted via phone (574) 283-1234.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Phone: (574) 283-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01063675A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01063675A Indiana

Profile Details

NPI number 1528274313
LBN Legal business name Nusbaum, Edward Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528274313 NPPES
Indiana Other 01063675A INDIANA PHYSICIAN LICENSE

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