Nelson, John Michael

Nelson, John Michael is an individual health care provider with primary practice located at 9250 Columbia Ave Ste 2E , Munster IN 46321-3530. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nelson, John Michael can be contacted via phone (219) 595-0043.

Contact Information

Primary practice address
9250 Columbia Ave Ste 2E Munster IN 46321-3530
Phone: (219) 595-0043
Fax: (219) 237-2894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000848A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 39000848A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000789A Indiana

Profile Details

NPI number 1093701542
LBN Legal business name Nelson, John Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 3rd, 2022 - about 2 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 1093701542 NPPES
Illinois Other 90000854 BCBSIL

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