Nishime, Robert S

Nishime, Robert S is an individual health care provider with primary practice located at 280 Jackson St , San Jose CA 95112-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Nishime, Robert S can be contacted via phone (408) 293-5864.

Contact Information

Primary practice address
280 Jackson St San Jose CA 95112-3256
Phone: (408) 293-5864
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A62708 California

Profile Details

NPI number 1225087984
LBN Legal business name Nishime, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 26th, 2019 - about 7 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 1225087984 NPPES
California MEDICAID 00A627080

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