Nelson, Carolyn D

Nelson, Carolyn D is an individual health care provider with primary practice located at 32756 Grand River Ave , Farmington MI 48336-3133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Carolyn D can be contacted via phone (248) 476-3280.

Contact Information

Primary practice address
32756 Grand River Ave Farmington MI 48336-3133
Phone: (248) 476-3280
Fax: (248) 476-3286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008650 Michigan

Profile Details

NPI number 1164464301
LBN Legal business name Nelson, Carolyn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 17th, 2020 - about 5 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 1164464301 NPPES
Michigan Other OH26459 BLUE CROSS
Michigan Other 139928 BLUE CROSS
Michigan Other 4033266 BLUE CROSS
Michigan MEDICAID 3323613 BLUE CROSS
Michigan Other B0411 BLUE CROSS
Michigan MEDICAID FV4454280 BLUE CROSS

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