Nuschke, Randell A

Nuschke, Randell A is an individual health care provider with primary practice located at 336 96Th St Suite 1, Stone Harbor NJ 08247-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nuschke, Randell A can be contacted via phone (609) 967-0070.

Contact Information

Primary practice address
336 96Th St Suite 1 Stone Harbor NJ 08247-1439
Phone: (609) 967-0070
Fax: (609) 967-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04738500 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400287 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1492 Virgin Islands

Profile Details

NPI number 1700840758
LBN Legal business name Nuschke, Randell A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 23rd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700840758 NPPES
Other 0108388000 AMERIHEALTH
MEDICAID 3874206 AMERIHEALTH

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