Nelson, Mark Harvey
Nelson, Mark Harvey is an individual health care provider with primary practice located at 750 Highland Oaks Dr Ste 100 , Winston Salem NC 27103-7110. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Nelson, Mark Harvey can be contacted via phone (336) 659-1528.Contact Information
Primary practice address
750 Highland Oaks Dr Ste 100
Winston Salem NC 27103-7110
Phone: (336) 659-1528
Fax: (336) 659-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33109 | North Carolina |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 33109 | North Carolina |
Profile Details
| NPI number | 1417953654 |
|---|---|
| LBN Legal business name | Nelson, Mark Harvey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 26th, 2019 - about 5 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 | 1417953654 | NPPES |
| North Carolina | Other | 62094 | BCBS |
| North Carolina | Other | 4557306002 | BCBS |
| North Carolina | MEDICAID | 8962094 | BCBS |
| North Carolina | Other | 698 | BCBS |
| North Carolina | Other | 10053 | BCBS |
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