Thein-Nissenbaum, Jill M

Thein-Nissenbaum, Jill M is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code-2433, Madison WI 53792-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Thein-Nissenbaum, Jill M can be contacted via phone (608) 662-0817.

Contact Information

Primary practice address
600 Highland Ave Compliance Mail Code-2433 Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 4738-24 Wisconsin

Profile Details

NPI number 1376565101
LBN Legal business name Thein-Nissenbaum, Jill M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376565101 NPPES
Wisconsin Other 4738-24 PT ORTHOPEDICS

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