Nelson, Michael

Nelson, Michael is an sole proprietor health care provider with primary practice located at 5901 Harper Dr Ne , Albuquerque NM 87109-3587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nelson, Michael can be contacted via phone (505) 823-8528.

Contact Information

Primary practice address
5901 Harper Dr Ne Albuquerque NM 87109-3587
Fax: (505) 823-8555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72-204 New Mexico

Profile Details

NPI number 1598735375
LBN Legal business name Nelson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Dec 21st, 2010 - about 14 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 1598735375 NPPES
New Mexico MEDICAID 20362

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