Brisso, Mark A

Brisso, Mark A is an individual health care provider with primary practice located at 1600 S 48Th St Neonatolgy, Lincoln NE 68506-1283. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Brisso, Mark A can be contacted via phone (402) 481-7333.

Contact Information

Primary practice address
1600 S 48Th St Neonatolgy Lincoln NE 68506-1283
Phone: (402) 481-7333
Fax: (402) 481-7579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10802 Nebraska
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 21523 Nebraska

Profile Details

NPI number 1609897248
LBN Legal business name Brisso, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 1st, 2011 - about 15 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 1609897248 NPPES
Kansas MEDICAID 200379810A
Kansas MEDICAID 470780857 02

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