Nelsen, Paul D

Nelsen, Paul D is an individual health care provider with primary practice located at 2600 S Heritage Woods Dr , Appleton WI 54915-1408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nelsen, Paul D can be contacted via phone (920) 225-7875.

Contact Information

Primary practice address
2600 S Heritage Woods Dr Appleton WI 54915-1408
Phone: (920) 225-7875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20430-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 20430-020 Wisconsin

Profile Details

NPI number 1699767301
LBN Legal business name Nelsen, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Sep 8th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699767301 NPPES
Wisconsin MEDICAID 30359200

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