Nussbaum, Leslie A

Nussbaum, Leslie A is an individual health care provider with primary practice located at 3901 W 25Th St , Saint Louis Park MN 55416-3803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Nussbaum, Leslie A can be contacted via phone (612) 374-0177.

Contact Information

Primary practice address
3901 W 25Th St Saint Louis Park MN 55416-3803
Phone: (612) 374-0177
Fax: (612) 374-0893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 40344 Minnesota

Profile Details

NPI number 1750358446
LBN Legal business name Nussbaum, Leslie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Mar 27th, 2008 - about 17 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 1750358446 NPPES
Minnesota Other 261S8SE BCBS MN

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