Nelson, David Oliver

Nelson, David Oliver is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Nelson, David Oliver can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 19212 Minnesota

Profile Details

NPI number 1699709980
LBN Legal business name Nelson, David Oliver
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 10th, 2011 - 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 1699709980 NPPES
Wisconsin MEDICAID 30338900
Wisconsin MEDICAID 474702000

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