Gwinn, Nelson
Gwinn, Nelson is an individual health care provider with primary practice located at 1150 Ross Clark Cir , Dothan AL 36301-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gwinn, Nelson can be contacted via phone (334) 712-1929.Contact Information
Primary practice address
1150 Ross Clark Cir
Dothan AL 36301-3022
Phone: (334) 712-1929
Fax: (334) 712-2799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 15644 | Alabama |
Profile Details
| NPI number | 1922087071 |
|---|---|
| LBN Legal business name | Gwinn, Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Feb 3rd, 2011 - about 13 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 | 1922087071 | NPPES |
| Alabama | MEDICAID | 000088713 | |
| Alabama | MEDICAID | 009941307 | |
| Alabama | MEDICAID | 000055299 | |
| Alabama | Other | 051088713 | |
| Alabama | Other | 051055299 | |
| Alabama | Other | 051538730 | |
| Alabama | Other | 61699 | |
| Alabama | MEDICAID | 529301110 | |
| Alabama | MEDICAID | 258388700 | |
| Alabama | Other | 631087996 | |
| Alabama | MEDICAID | 00459225B | |
| Alabama | Other | 051540195 | |
| Alabama | MEDICAID | 054182600 |
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