Nelson, Mark Lewis

Nelson, Mark Lewis is an individual health care provider with primary practice located at 2245 S 19Th St 200, Tacoma WA 98405-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nelson, Mark Lewis can be contacted via phone (253) 572-1444.

Contact Information

Primary practice address
2245 S 19Th St 200 Tacoma WA 98405-2945
Fax: (253) 830-2528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 00043072 Washington

Profile Details

NPI number 1689647109
LBN Legal business name Nelson, Mark Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 10th, 2024 - about 8 months 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 1689647109 NPPES
Washington Other G8895607 PTAN

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