Nelson, Darrick P.
Nelson, Darrick P. is an individual health care provider with primary practice located at 1007 N Pope St , Silver City NM 88061-5161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Darrick P. can be contacted via phone (575) 388-1511.Contact Information
Primary practice address
1007 N Pope St
Silver City NM 88061-5161
Phone: (575) 388-1511
Fax: (575) 388-3465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L5071 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2010-0242 | New Mexico |
Profile Details
| NPI number | 1306843990 |
|---|---|
| LBN Legal business name | Nelson, Darrick P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Sep 2nd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306843990 | NPPES |
| Texas | MEDICAID | 156494004 | |
| Texas | Other | 8AQ389 | |
| Texas | MEDICAID | 72135361 | |
| Texas | Other | NMA100969 |
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