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
Fax: (415) 460-6710
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1124032230 NPPES
California MEDICAID 00G688581

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