Nussbaum, Timothy J
Nussbaum, Timothy J is an individual health care provider with primary practice located at 1703 W Stones Crossing Rd Ste 200 , Greenwood IN 46143-8558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nussbaum, Timothy J can be contacted via phone (317) 859-3737.Contact Information
Primary practice address
1703 W Stones Crossing Rd Ste 200
Greenwood IN 46143-8558
Phone: (317) 859-3737
Fax: (317) 859-3730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01036991A | Indiana |
Profile Details
| NPI number | 1770565145 |
|---|---|
| LBN Legal business name | Nussbaum, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 13th, 2023 - about 3 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 | 1770565145 | NPPES |
| Indiana | MEDICAID | 100067820 |
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