Nelson, Mark

Nelson, Mark is an individual health care provider with primary practice located at 501 20Th St Suite 606, Knoxville TN 37916-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Nelson, Mark can be contacted via phone (865) 546-8040.

Contact Information

Primary practice address
501 20Th St Suite 606 Knoxville TN 37916-1809
Phone: (865) 546-8040
Fax: (865) 541-2787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 15357 Tennessee

Profile Details

NPI number 1336117944
LBN Legal business name Nelson, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 27th, 2011 - about 13 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 1336117944 NPPES
Tennessee Other P00168918 TRAVELERS MEDICARE
Tennessee Other 4087758 TRAVELERS MEDICARE
Tennessee Other 4087758 TRAVELERS MEDICARE
Tennessee Other 100024069 TRAVELERS MEDICARE
Tennessee MEDICAID 3008471 TRAVELERS MEDICARE

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