Alan S. Nelson D.O. Pc

LBN: Alan S. Nelson D.O. Pc
Alan S. Nelson D.O. Pc is an health care organization with primary practice located at 1404 Pomerelle Ave. Suite A2, Burley ID 83318-1564. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alan S. Nelson D.O. Pc can be contacted via phone (208) 878-8817, or through Nelson, Alan S. via phone (208) 878-8817.

Contact Information

Primary practice address
1404 Pomerelle Ave. Suite A2 Burley ID 83318-1564
Phone: (208) 878-8817
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Alan S. Doctor of Osteopathy (DO)
Phone: (208) 878-8817

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O143 Idaho

Profile Details

NPI number 1184993586
LBN Legal business name Alan S. Nelson D.O. Pc
DBA Doing business as Alan S. Nelson D.O. Pc
Authorized official Nelson, Alan S. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2011
Last updated Dec 4th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184993586 NPPES
Idaho MEDICAID 804255700

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