Nelsen, Matthew John
Nelsen, Matthew John is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nelsen, Matthew John can be contacted via phone (701) 237-9712.Contact Information
Primary practice address
1720 University Dr S
Fargo ND 58103-4940
Phone: (701) 237-9712
Fax: (701) 237-0922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30252 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9363 | North Dakota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 9363 | North Dakota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 46060 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 30252 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 46060 | Minnesota |
Profile Details
| NPI number | 1699727958 |
|---|---|
| LBN Legal business name | Nelsen, Matthew John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | May 13th, 2022 - about 2 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 | 1699727958 | NPPES |
| North Dakota | MEDICAID | 12329 |
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