Nelson, Michelle Delores

Nelson, Michelle Delores is an individual health care provider with primary practice located at 1 Lile Ct Suite 101, Little Rock AR 72205-6242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Nelson, Michelle Delores can be contacted via phone (501) 225-7711.

Contact Information

Primary practice address
1 Lile Ct Suite 101 Little Rock AR 72205-6242
Phone: (501) 225-7711
Fax: (501) 225-7108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E4110 Arkansas

Profile Details

NPI number 1306807748
LBN Legal business name Nelson, Michelle Delores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 20th, 2016 - about 8 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 1306807748 NPPES
Arkansas MEDICAID 154928001

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