Nelson, Eustus Stephen
Nelson, Eustus Stephen is an individual health care provider with primary practice located at 4215 Sun N Lake Blvd , Sebring FL 33872-2158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nelson, Eustus Stephen can be contacted via phone (863) 382-2248.Contact Information
Primary practice address
4215 Sun N Lake Blvd
Sebring FL 33872-2158
Phone: (863) 382-2248
Fax: (863) 382-1242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME45558 | Florida |
Profile Details
| NPI number | 1417957507 |
|---|---|
| LBN Legal business name | Nelson, Eustus Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 28th, 2013 - 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 | 1417957507 | NPPES |
| Florida | MEDICAID | 008356800 |
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