Nelson, Catherine Em

Nelson, Catherine Em is an individual health care provider with primary practice located at 130 Corporate Dr , Beaver Dam WI 53916-3116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Catherine Em can be contacted via phone (920) 877-3102.

Contact Information

Primary practice address
130 Corporate Dr Beaver Dam WI 53916-3116
Fax: (920) 855-8790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60067-021 Wisconsin

Profile Details

NPI number 1164712014
LBN Legal business name Nelson, Catherine Em
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Feb 11th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164712014 NPPES
Wisconsin MEDICAID 1164712014

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