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
Phone: (215) 887-3990
Fax: (215) 887-1140
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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