Nelson, Donald R
Nelson, Donald R is an sole proprietor health care provider with primary practice located at 1945 Mesquite Ave Ste. A, Lake Havasu City AZ 86403-5889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nelson, Donald R can be contacted via phone (928) 855-4128.Contact Information
Primary practice address
1945 Mesquite Ave Ste. A
Lake Havasu City AZ 86403-5889
Phone: (928) 855-4128
Fax: (928) 855-7539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 05491 | Arizona |
Profile Details
| NPI number | 1497817878 |
|---|---|
| LBN Legal business name | Nelson, Donald R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Feb 8th, 2008 - about 16 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 | 1497817878 | NPPES |
| Arizona | MEDICAID | 219940 |
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