Neilsen, Edward A

Neilsen, Edward A is an individual health care provider with primary practice located at 319 Folly Rd , Charleston SC 29412-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Neilsen, Edward A can be contacted via phone (843) 203-2246.

Contact Information

Primary practice address
319 Folly Rd Charleston SC 29412-2518
Phone: (843) 203-2246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24239 South Carolina

Profile Details

NPI number 1457316317
LBN Legal business name Neilsen, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 6th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457316317 NPPES
South Carolina MEDICAID 242393

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