Ehly, Nelson Richard
Ehly, Nelson Richard is an individual health care provider with primary practice located at 111 S Fairview Rd , Rocky Mount NC 27801-6971. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ehly, Nelson Richard can be contacted via phone (252) 446-3333.Contact Information
Primary practice address
111 S Fairview Rd
Rocky Mount NC 27801-6971
Phone: (252) 446-3333
Fax: (252) 446-0426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102739 | North Carolina |
Profile Details
| NPI number | 1508887688 |
|---|---|
| LBN Legal business name | Ehly, Nelson Richard |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Apr 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508887688 | NPPES |
| North Carolina | MEDICAID | 89015A5 |
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