Nelson, Linda Marie

Nelson, Linda Marie is an individual health care provider with primary practice located at 30 Warren Street , Brighton MA 02135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nelson, Linda Marie can be contacted via phone (617) 779-1500.

Contact Information

Primary practice address
30 Warren Street Brighton MA 02135
Fax: (617) 779-1480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 73406 Massachusetts

Profile Details

NPI number 1669456224
LBN Legal business name Nelson, Linda Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 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 1669456224 NPPES
Massachusetts MEDICAID 3095495

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