Nelson, Dale A

Nelson, Dale A is an individual health care provider with primary practice located at 1215 N Mcdonald Rd Ste 101, Spokane Valley WA 99216-1048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Nelson, Dale A can be contacted via phone (509) 924-1950.

Contact Information

Primary practice address
1215 N Mcdonald Rd Ste 101 Spokane Valley WA 99216-1048
Phone: (509) 924-1950
Fax: (509) 921-0017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD00017395 Washington

Profile Details

NPI number 1063420180
LBN Legal business name Nelson, Dale A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated May 1st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063420180 NPPES
Washington Other 910987719 PREMERA
Washington MEDICAID 1159201 PREMERA

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