Nelson, Bradley D

Nelson, Bradley D is an individual health care provider with primary practice located at 207 S 30Th Street , Clinton OK 73601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nelson, Bradley D can be contacted via phone (580) 323-5800.

Contact Information

Primary practice address
207 S 30Th Street Clinton OK 73601
Phone: (580) 323-5800
Fax: (580) 323-5802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 230 Oklahoma

Profile Details

NPI number 1285634469
LBN Legal business name Nelson, Bradley D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 6th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285634469 NPPES
Oklahoma MEDICAID 200026910A

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