Nelson, Larry M

Nelson, Larry M is an sole proprietor health care provider with primary practice located at 344 Lafayette Ave , Hawthorne NJ 07506-2506. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nelson, Larry M can be contacted via phone (973) 238-0660.

Contact Information

Primary practice address
344 Lafayette Ave Hawthorne NJ 07506-2506
Phone: (973) 238-0660
Fax: (973) 238-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD002180 New Jersey

Profile Details

NPI number 1831167279
LBN Legal business name Nelson, Larry M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Feb 1st, 2010 - about 14 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 1831167279 NPPES
New Jersey Other P3602754 OXFORD
New Jersey MEDICAID 5423902 OXFORD
New Jersey Other PA000000100 OXFORD

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