Nissen, Mary
Nissen, Mary is an sole proprietor health care provider with primary practice located at 328 N Shaddle Ave , Mundelein IL 60060-2411. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nissen, Mary can be contacted via phone (847) 566-9860.Contact Information
Primary practice address
328 N Shaddle Ave
Mundelein IL 60060-2411
Phone: (847) 566-9860
Fax: (847) 566-9861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 056-007166 | Illinois |
Profile Details
| NPI number | 1548599707 |
|---|---|
| LBN Legal business name | Nissen, Mary |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2009 |
| Last updated | Dec 17th, 2009 - about 17 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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