Nelson, Keisha J

Nelson, Keisha J is an individual health care provider with primary practice located at 555 Barclay Cir Ste 150 , Rochester Hills MI 48307-4587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Keisha J can be contacted via phone (248) 299-5777.

Contact Information

Primary practice address
555 Barclay Cir Ste 150 Rochester Hills MI 48307-4587
Phone: (248) 299-5777
Fax: (248) 299-6917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301075845 Michigan

Profile Details

NPI number 1245213115
LBN Legal business name Nelson, Keisha J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 20th, 2020 - about 4 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 1245213115 NPPES
Other 0N84060 MEDICARE

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