Nelson, Ava Williams
Nelson, Ava Williams is an sole proprietor health care provider with primary practice located at 5409 Jacks Ct , Catonsville MD 21228-3705. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nelson, Ava Williams can be contacted via phone (410) 788-2372.Contact Information
Primary practice address
5409 Jacks Ct
Catonsville MD 21228-3705
Phone: (410) 788-2372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0031653 | Maryland |
Profile Details
| NPI number | 1598886699 |
|---|---|
| LBN Legal business name | Nelson, Ava Williams |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1598886699 | NPPES |
| Maryland | MEDICAID | 1334367 |
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