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Contact Information

MARK A BRISSO, MD
1600 S 48TH ST
NEONATOLGY
LINCOLN, NE68506-1283
 Phone: 402-481-7333
 Fax: 402-481-7579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MARK A BRISSO · (Male)

NPI # 1609897248
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 12/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 10802
  • NE License # 21523
  • KS Medicaid 200379810A
  • NE Medicaid 470780857 02
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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