Nissen, Kim Edward

Nissen, Kim Edward is an sole proprietor health care provider with primary practice located at 440 Redondo Ave Ste 201 , Long Beach CA 90814-5145. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Nissen, Kim Edward can be contacted via phone (562) 209-5064.

Contact Information

Primary practice address
440 Redondo Ave Ste 201 Long Beach CA 90814-5145
Phone: (562) 209-5064
Fax: (562) 342-6496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1861618027
LBN Legal business name Nissen, Kim Edward
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Mar 12th, 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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