Nelson, Marci M
Nelson, Marci M is an individual health care provider with primary practice located at 21911 76Th Ave W #110, Edmonds WA 98026-7903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Marci M can be contacted via phone (425) 640-4950.Contact Information
Primary practice address
21911 76Th Ave W #110
Edmonds WA 98026-7903
Phone: (425) 640-4950
Fax: (425) 640-4958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00042464 | Washington |
Profile Details
| NPI number | 1629021043 |
|---|---|
| LBN Legal business name | Nelson, Marci M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629021043 | NPPES |
| Washington | MEDICAID | 8393597 | |
| Washington | Other | 4252PU |
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