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Contact Information

GERALD L NISSEN, D.C.
16916 STATE HIGHWAY 14
MOJAVE, CA93501-1226
 Phone: 661-824-9732
 Fax: 661-824-1638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
 

Radiology

111NR0200X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GERALD L NISSEN · (Male)

NPI Number 1720018435
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # DC16780
  • CA License # RHC126137
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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