Nelson, Fred C.

Nelson, Fred C. is an individual health care provider with primary practice located at 10405 Ligon Mill Rd Ste F , Wake Forest NC 27587-5013. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Nelson, Fred C. can be contacted via phone (919) 556-2014.

Contact Information

Primary practice address
10405 Ligon Mill Rd Ste F Wake Forest NC 27587-5013
Fax: (919) 556-0996
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1075 North Carolina

Profile Details

NPI number 1316979495
LBN Legal business name Nelson, Fred C.
Credentials D.C., C.C.S.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316979495 NPPES
North Carolina Other 666372 ACN
North Carolina Other 08664 ACN
North Carolina MEDICAID 8908664 ACN
North Carolina Other 2343112 ACN
North Carolina Other 4455933 ACN

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