Nussbaum, Elaine

Nussbaum, Elaine is an individual health care provider with primary practice located at 455 S Main St Ste 103 , Hinesville GA 31313-4354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Nussbaum, Elaine can be contacted via phone (912) 876-6868.

Contact Information

Primary practice address
455 S Main St Ste 103 Hinesville GA 31313-4354
Phone: (912) 876-6868
Fax: (912) 876-6566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN06481700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN222173 Georgia

Profile Details

NPI number 1346213378
LBN Legal business name Nussbaum, Elaine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 5th, 2020 - about 6 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 1346213378 NPPES
Georgia MEDICAID 003124416A

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