Nissenbaum, David Michael

Nissenbaum, David Michael is an individual health care provider with primary practice located at 1118 Main St Ste A , Cross Plains WI 53528-9477. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Nissenbaum, David Michael can be contacted via phone (608) 413-0550.

Contact Information

Primary practice address
1118 Main St Ste A Cross Plains WI 53528-9477
Phone: (608) 413-0550
Fax: (608) 413-0552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 209039 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6391024 Wisconsin

Profile Details

NPI number 1376502773
LBN Legal business name Nissenbaum, David Michael
Credentials MPT MA LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 16th, 2018 - 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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