Nelson, Gary

Nelson, Gary is an individual health care provider with primary practice located at 5150 Journal Center Blvd Ne Fl 2 , Albuquerque NM 87109-5900. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nelson, Gary can be contacted via phone (505) 232-1530.

Contact Information

Primary practice address
5150 Journal Center Blvd Ne Fl 2 Albuquerque NM 87109-5900
Phone: (505) 232-1530
Fax: (505) 262-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 159 New Mexico

Profile Details

NPI number 1447273552
LBN Legal business name Nelson, Gary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 5th, 2018 - about 7 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 1447273552 NPPES
New Mexico MEDICAID 54460

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