Grant, William Nelson
Grant, William Nelson is an sole proprietor health care provider with primary practice located at 1006 Emerald Bay Dr , Destin FL 32541-3779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grant, William Nelson can be contacted via phone (850) 533-0166.Contact Information
Primary practice address
1006 Emerald Bay Dr
Destin FL 32541-3779
Phone: (850) 533-0166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P7451 | Texas |
Profile Details
| NPI number | 1548277726 |
|---|---|
| LBN Legal business name | Grant, William Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Feb 12th, 2020 - about 4 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 | 1548277726 | NPPES |
| Ohio | MEDICAID | 2257490 |
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