Nelson, Marilyn Mk
Nelson, Marilyn Mk is an individual health care provider with primary practice located at 1302 E Main St , Endicott NY 13760-5430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Marilyn Mk can be contacted via phone (607) 754-2323.Contact Information
Primary practice address
1302 E Main St
Endicott NY 13760-5430
Phone: (607) 754-2323
Fax: (607) 754-1846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0065518 | Maryland |
Profile Details
| NPI number | 1497776173 |
|---|---|
| LBN Legal business name | Nelson, Marilyn Mk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 18th, 2019 - 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 | 1497776173 | NPPES |
| Maryland | MEDICAID | 482501200 | |
| Maryland | MEDICAID | 0035061003 | |
| Maryland | MEDICAID | 1007288800 |
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