Nelson, Larry W.

Nelson, Larry W. is an individual health care provider with primary practice located at 160 Medical Circle First Floor, West Columbia SC 29169-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nelson, Larry W. can be contacted via phone (803) 796-6811.

Contact Information

Primary practice address
160 Medical Circle First Floor West Columbia SC 29169-3656
Phone: (803) 796-6811
Fax: (803) 796-6851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7166 South Carolina

Profile Details

NPI number 1932292430
LBN Legal business name Nelson, Larry W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 22nd, 2007 - about 17 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 1932292430 NPPES
South Carolina MEDICAID 071665

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