Madrazo, Nelson Tan
Madrazo, Nelson Tan is an sole proprietor health care provider with primary practice located at 103 Ga Highway 27 E , Americus GA 31709-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Madrazo, Nelson Tan can be contacted via phone (229) 924-8082.Contact Information
Primary practice address
103 Ga Highway 27 E
Americus GA 31709-3800
Phone: (229) 924-8082
Fax: (229) 924-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49862 | Georgia |
Profile Details
| NPI number | 1295773687 |
|---|---|
| LBN Legal business name | Madrazo, Nelson Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Oct 3rd, 2013 - about 11 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 | 1295773687 | NPPES |
| Georgia | MEDICAID | 000905165D | |
| Georgia | MEDICAID | 000905165E |
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