Nelson, Benjamin David
Nelson, Benjamin David is an individual health care provider with primary practice located at 400 East 3Rd Street , Duluth MN 55805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Nelson, Benjamin David can be contacted via phone (218) 786-3520.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 47738 | Minnesota |
Profile Details
| NPI number | 1750465985 |
|---|---|
| LBN Legal business name | Nelson, Benjamin David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | May 9th, 2011 - about 13 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 | 1750465985 | NPPES |
| Wisconsin | MEDICAID | 34680600 | |
| Wisconsin | Other | 634T3NE | |
| Wisconsin | MEDICAID | 290422500 | |
| Wisconsin | Other | HP54875 |
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