Nelson, Douglas Alan
Nelson, Douglas Alan is an individual health care provider with primary practice located at 676 S Floyd St Ste 200 , Louisville KY 40202-1840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Nelson, Douglas Alan can be contacted via phone (502) 629-4440.Contact Information
Primary practice address
676 S Floyd St Ste 200
Louisville KY 40202-1840
Phone: (502) 629-4440
Fax: (502) 629-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 56196 | Kentucky |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 56196 | Kentucky |
Profile Details
| NPI number | 1497720049 |
|---|---|
| LBN Legal business name | Nelson, Douglas Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Dec 27th, 2021 - about 3 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 | 1497720049 | NPPES |
| Kentucky | Other | 56196 | STATE LICENSE |
| Kentucky | MEDICAID | 202787201 (MDACC) | STATE LICENSE |
| Kentucky | Other | 8V4667 | STATE LICENSE |
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