Nusholtz, Marc Sheldon
Nusholtz, Marc Sheldon is an individual health care provider with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nusholtz, Marc Sheldon can be contacted via phone (574) 753-1302.Contact Information
Primary practice address
1101 Michigan Ave
Logansport IN 46947-1528
Phone: (574) 753-1302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101007102 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 5101007102 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 5101007102 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02001520A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 02001520A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 02001520A | Indiana |
Profile Details
| NPI number | 1245368646 |
|---|---|
| LBN Legal business name | Nusholtz, Marc Sheldon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Nov 2nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245368646 | NPPES |
| Indiana | Other | 000000720342 | ANTHEM BLUE CROSS |
| Indiana | MEDICAID | 200174470 | ANTHEM BLUE CROSS |
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