Nussbaum, Burton L
Nussbaum, Burton L is an individual health care provider with primary practice located at 1 S Forge Ln , Cherry Hill NJ 08002-2550. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nussbaum, Burton L can be contacted via phone (856) 667-2123.Contact Information
Primary practice address
1 S Forge Ln
Cherry Hill NJ 08002-2550
Phone: (856) 667-2123
Fax: (856) 482-7825
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 11829 | New Jersey |
Profile Details
NPI number | 1003876079 |
---|---|
LBN Legal business name | Nussbaum, Burton L |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1003876079 | NPPES |
New Jersey | MEDICAID | 2455706 |
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