Nelson, Adam Phillip
Nelson, Adam Phillip is an sole proprietor health care provider with primary practice located at 45 Camino Alto Suite 200, Mill Valley CA 94941-2929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nelson, Adam Phillip can be contacted via phone (415) 460-6710.Contact Information
Primary practice address
45 Camino Alto Suite 200
Mill Valley CA 94941-2929
Phone: (415) 460-6710
Fax: (415) 460-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G68858 | California |
Profile Details
| NPI number | 1124032230 |
|---|---|
| LBN Legal business name | Nelson, Adam Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124032230 | NPPES |
| California | MEDICAID | 00G688581 |
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