Nelson, Michael Frederic

Nelson, Michael Frederic is an individual health care provider with primary practice located at 3190 North St , Beaumont TX 77702-1420. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Nelson, Michael Frederic can be contacted via phone (099) 924-0002.

Contact Information

Primary practice address
3190 North St Beaumont TX 77702-1420
Phone: (099) 924-0002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48751 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 26028 Texas

Profile Details

NPI number 1558385617
LBN Legal business name Nelson, Michael Frederic
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 11th, 2021 - about 4 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 1558385617 NPPES
Other 0 DO NOT HAVE

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