Nelson, Michael John

Nelson, Michael John is an sole proprietor health care provider with primary practice located at 501 Se 172Nd Ave Ste 220 , Vancouver WA 98684-9542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nelson, Michael John can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
501 Se 172Nd Ave Ste 220 Vancouver WA 98684-9542
Fax: (360) 604-1734
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A78283 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 00039405 Washington

Profile Details

NPI number 1528026051
LBN Legal business name Nelson, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Mar 17th, 2018 - about 7 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 1528026051 NPPES
Washington MEDICAID 2038611

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