Von Dem Bussche, Nicolas

Von Dem Bussche, Nicolas is an individual health care provider with primary practice located at 1 Hoag Dr , Newport Beach CA 92663-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Von Dem Bussche, Nicolas can be contacted via phone (949) 263-8620.

Contact Information

Primary practice address
1 Hoag Dr Newport Beach CA 92663-4162
Phone: (949) 263-8620
Fax: (949) 263-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A79178 California

Profile Details

NPI number 1720037682
LBN Legal business name Von Dem Bussche, Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 23rd, 2007 - 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 1720037682 NPPES
California MEDICAID 00A791780
California Other 00A791780
California Other P00346064

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