Nelsen, Michael R
Nelsen, Michael R is an individual health care provider with primary practice located at 533 S 336Th St Suite C, Federal Way WA 98003-6329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nelsen, Michael R can be contacted via phone (253) 661-1700.Contact Information
Primary practice address
533 S 336Th St Suite C
Federal Way WA 98003-6329
Phone: (253) 661-1700
Fax: (253) 661-4565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00036302 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00036302 | Washington |
Profile Details
| NPI number | 1124028568 |
|---|---|
| LBN Legal business name | Nelsen, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 27th, 2012 - about 12 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 | 1124028568 | NPPES |
| Washington | MEDICAID | 8271041 |
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