Nisbet, William

Nisbet, William is an sole proprietor health care provider with primary practice located at 960 Liberty St Se Ste 100 , Salem OR 97302-4165. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nisbet, William can be contacted via phone (503) 364-5033.

Contact Information

Primary practice address
960 Liberty St Se Ste 100 Salem OR 97302-4165
Fax: (503) 364-4820
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10771 Oregon

Profile Details

NPI number 1750317293
LBN Legal business name Nisbet, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2006
Last updated Dec 11th, 2012 - about 14 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 1750317293 NPPES
Oregon MEDICAID 13769-5

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