Nelson, Marie S
Nelson, Marie S is an sole proprietor health care provider with primary practice located at 790 Veterans Way , Pensacola FL 32507. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Nelson, Marie S can be contacted via phone (850) 912-2277.Contact Information
Primary practice address
790 Veterans Way
Pensacola FL 32507
Phone: (850) 912-2277
Fax: (850) 912-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 5901001597 | Michigan |
Profile Details
| NPI number | 1083612436 |
|---|---|
| LBN Legal business name | Nelson, Marie S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 18th, 2018 - about 6 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 | 1083612436 | NPPES |
| Michigan | MEDICAID | 4480692 |
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