Nelson, Mark L
Nelson, Mark L is an sole proprietor health care provider with primary practice located at 60 W Big Beaver Rd Ste 120, Bloomfield Hills MI 48304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Nelson, Mark L can be contacted via phone (248) 540-9100.Contact Information
Primary practice address
60 W Big Beaver Rd Ste 120
Bloomfield Hills MI 48304
Phone: (248) 540-9100
Fax: (248) 540-1223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301045147 | Michigan |
Profile Details
| NPI number | 1235199027 |
|---|---|
| LBN Legal business name | Nelson, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jan 13th, 2014 - about 10 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 | 1235199027 | NPPES |
| Michigan | Other | 070002264 | RAILROAD MEDICARE PIN |
| Michigan | Other | 0F34680 | RAILROAD MEDICARE PIN |
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