Nelsen, Philip T
Nelsen, Philip T is an individual health care provider with primary practice located at 2865 N Reynolds Rd Suite 230, Toledo OH 43615-2068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Nelsen, Philip T can be contacted via phone (419) 578-4367.Contact Information
Primary practice address
2865 N Reynolds Rd Suite 230
Toledo OH 43615-2068
Phone: (419) 578-4367
Fax: (419) 537-5639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 35049048 | Ohio |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35049048 | Ohio |
Profile Details
| NPI number | 1982606109 |
|---|---|
| LBN Legal business name | Nelsen, Philip T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 5th, 2017 - about 7 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 | 1982606109 | NPPES |
| Ohio | Other | NE0531841 | MEDICARE PTAN |
| Ohio | Other | 1804611061 | MEDICARE PTAN |
| Ohio | MEDICAID | 0517668 | MEDICARE PTAN |
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