Nelsen, Elise Janell

Nelsen, Elise Janell is an individual health care provider with primary practice located at 180 N Elmira St , Athens PA 18810-1328. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Nelsen, Elise Janell can be contacted via phone (607) 215-5159.

Contact Information

Primary practice address
180 N Elmira St Athens PA 18810-1328
Phone: (607) 215-5159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4659 California
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC006023 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006023 Pennsylvania

Profile Details

NPI number 1982627485
LBN Legal business name Nelsen, Elise Janell
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 7th, 2024 - about 6 months 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 1982627485 NPPES
Pennsylvania MEDICAID 1020816460002
Pennsylvania MEDICAID 03334296

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