Nelson, Mark A
Nelson, Mark A is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nelson, Mark A can be contacted via phone (414) 328-6000.Contact Information
Primary practice address
8901 W Lincoln Ave
West Allis WI 53227-2409
Phone: (414) 328-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 24587-020 | Wisconsin |
Profile Details
| NPI number | 1922143064 |
|---|---|
| LBN Legal business name | Nelson, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922143064 | NPPES |
| Wisconsin | MEDICAID | 32827100 |
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