Provider Demographics
NPI:1619143088
Name:HH NUSS DPM INC PC
Entity Type:Organization
Organization Name:HH NUSS DPM INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:NUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-822-5998
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-0461
Mailing Address - Country:US
Mailing Address - Phone:615-822-5998
Mailing Address - Fax:
Practice Address - Street 1:101 WESSINGTON PL
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3020
Practice Address - Country:US
Practice Address - Phone:615-822-5998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNDPM00316213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty