Nelson, Douglas Martin

Nelson, Douglas Martin is an individual health care provider with primary practice located at 1326 Peninsula Dr , Erie PA 16505-4235. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Nelson, Douglas Martin can be contacted via phone (814) 835-3338.

Contact Information

Primary practice address
1326 Peninsula Dr Erie PA 16505-4235
Phone: (814) 835-3338
Fax: (814) 835-3668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC001726L Pennsylvania

Profile Details

NPI number 1568442077
LBN Legal business name Nelson, Douglas Martin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568442077 NPPES
Pennsylvania MEDICAID 000863022

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