Nussbaum, Jesse Michael

Nussbaum, Jesse Michael is an individual health care provider with primary practice located at 1750 Nebraska Ave Bldg B , Grants Pass OR 97527-5700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Nussbaum, Jesse Michael can be contacted via phone (541) 476-3302.

Contact Information

Primary practice address
1750 Nebraska Ave Bldg B Grants Pass OR 97527-5700
Phone: (541) 476-3302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1780950691
LBN Legal business name Nussbaum, Jesse Michael
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2012
Last updated Mar 24th, 2018 - about 7 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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