Nelson, Michael J
Nelson, Michael J is an sole proprietor health care provider with primary practice located at 2800 Clay Edwards Dr , North Kansas City MO 64116-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Nelson, Michael J can be contacted via phone (816) 346-7220.Contact Information
Primary practice address
2800 Clay Edwards Dr
North Kansas City MO 64116-3220
Phone: (816) 346-7220
Fax: (816) 346-7242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R8N03 | Missouri |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | R8N03 | Missouri |
Profile Details
| NPI number | 1659364164 |
|---|---|
| LBN Legal business name | Nelson, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659364164 | NPPES |
| Missouri | Other | 19133017 | BCBS KC MO |
| Missouri | Other | 19133027 | BCBS KC MO |
| Missouri | Other | 930016992 | BCBS KC MO |
| Missouri | Other | P00604070 | BCBS KC MO |
| Missouri | Other | 19133027 | BCBS KC MO |
| Missouri | MEDICAID | 202930913 | BCBS KC MO |
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