Nelsen, Michele K
Nelsen, Michele K is an individual health care provider with primary practice located at 14410 Se Petrovitsky Rd Ste 104 , Renton WA 98058-8900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Nelsen, Michele K can be contacted via phone (256) 903-4054.Contact Information
Primary practice address
14410 Se Petrovitsky Rd Ste 104
Renton WA 98058-8900
Phone: (256) 903-4054
Fax: (425) 690-9405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD00035357 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00035357 | Washington |
Profile Details
| NPI number | 1093729873 |
|---|---|
| LBN Legal business name | Nelsen, Michele K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Mar 31st, 2020 - about 4 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 | 1093729873 | NPPES |
| Washington | MEDICAID | 1042822 | |
| Washington | Other | G8891361 |
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