Nelson, Christopher G

Nelson, Christopher G is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc 79, Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Nelson, Christopher G can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Mdc 79 Tampa FL 33612-4742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME19963 Florida

Profile Details

NPI number 1477541076
LBN Legal business name Nelson, Christopher G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2005
Last updated Aug 11th, 2011 - about 14 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 1477541076 NPPES
Florida Other 78995 BLUE CROSS BLUE SHIELD
Florida MEDICAID 003538600 BLUE CROSS BLUE SHIELD

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