Nelson, Martine Therese

Nelson, Martine Therese is an sole proprietor health care provider with primary practice located at 2745 Maple Ave , Lisle IL 60532-3280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Nelson, Martine Therese can be contacted via phone (630) 717-9600.

Contact Information

Primary practice address
2745 Maple Ave Lisle IL 60532-3280
Phone: (630) 717-9600
Fax: (630) 717-5297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036067467 Illinois

Profile Details

NPI number 1669561478
LBN Legal business name Nelson, Martine Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Sep 23rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669561478 NPPES
Illinois Other 31601930 BLUE CROSS BLUE SHEILD
Illinois MEDICAID 036067467 BLUE CROSS BLUE SHEILD

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