Nussbaum, Tammy
Nussbaum, Tammy is an sole proprietor health care provider with primary practice located at 1018 Broad St Ste 6 , Bloomfield NJ 07003-2884. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nussbaum, Tammy can be contacted via phone (862) 930-5700.Contact Information
Primary practice address
1018 Broad St Ste 6
Bloomfield NJ 07003-2884
Phone: (862) 930-5700
Fax: (973) 707-2383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00155200 | New Jersey |
Profile Details
| NPI number | 1902496532 |
|---|---|
| LBN Legal business name | Nussbaum, Tammy |
| Credentials | MASTERS IN SCIENCE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2021 |
| Last updated | Jan 24th, 2021 - about 3 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 | 1902496532 | NPPES |
| New Jersey | Other | 37LC0015520 | LCADC |
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