Nelson, Andrew Joseph
Nelson, Andrew Joseph is an sole proprietor health care provider with primary practice located at 607 E 200 S , Salt Lake City UT 84102-2110. He recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as his primary health care specialty. Nelson, Andrew Joseph can be contacted via phone (801) 430-0954.Contact Information
Primary practice address
607 E 200 S
Salt Lake City UT 84102-2110
Phone: (801) 430-0954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 11273 | Utah |
Profile Details
| NPI number | 1912617473 |
|---|---|
| LBN Legal business name | Nelson, Andrew Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2022 |
| Last updated | Nov 24th, 2022 - about 3 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 | 1912617473 | NPPES |
| Utah | MEDICAID | 0807673823 |
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