Nussbaum, Michael Lynn

Nussbaum, Michael Lynn is an individual health care provider with primary practice located at 1245 Highland Ave Suite 600, Abington PA 19001-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nussbaum, Michael Lynn can be contacted via phone (215) 887-3990.

Contact Information

Primary practice address
1245 Highland Ave Suite 600 Abington PA 19001-3714
Fax: (215) 887-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-038733E Pennsylvania

Profile Details

NPI number 1164409678
LBN Legal business name Nussbaum, Michael Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Aug 15th, 2014 - about 12 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 1164409678 NPPES
Pennsylvania Other 265028 BLUE CROSS BLUE SHIELD
Pennsylvania MEDICAID 0012574100008 BLUE CROSS BLUE SHIELD
Pennsylvania Other 1002111 BLUE CROSS BLUE SHIELD
Pennsylvania Other 0072656000 BLUE CROSS BLUE SHIELD
Pennsylvania Other 020054344 BLUE CROSS BLUE SHIELD
Pennsylvania Other 7290859004 BLUE CROSS BLUE SHIELD

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