Nissenbaum, Mark Bruce
Nissenbaum, Mark Bruce is an individual health care provider with primary practice located at 3701 Loop Rd Va Medical Center (679/11), Tuscaloosa AL 35404-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nissenbaum, Mark Bruce can be contacted via phone (205) 554-2000.Contact Information
Primary practice address
3701 Loop Rd Va Medical Center (679/11)
Tuscaloosa AL 35404-5015
Phone: (205) 554-2000
Fax: (205) 554-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 122786 | New York |
Profile Details
| NPI number | 1003894502 |
|---|---|
| LBN Legal business name | Nissenbaum, Mark Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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