Nissen, Gary Michael

Nissen, Gary Michael is an individual health care provider with primary practice located at 3333 Riverbend Dr , Springfield OR 97477-8800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Nissen, Gary Michael can be contacted via phone (541) 681-5124.

Contact Information

Primary practice address
3333 Riverbend Dr Springfield OR 97477-8800
Phone: (541) 681-5124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD203881 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1124550520
LBN Legal business name Nissen, Gary Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Mar 22nd, 2022 - about 4 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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