Nelson, Kasey C

Nelson, Kasey C is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nelson, Kasey C can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901
Phone: (618) 549-0721
Fax: (618) 457-0469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101015756 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036147888 Illinois

Profile Details

NPI number 1205050416
LBN Legal business name Nelson, Kasey C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Sep 27th, 2021 - about 3 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 1205050416 NPPES
Michigan Other 700F960010 BC PIN

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