Nelson, Nadine Ave

Nelson, Nadine Ave is an sole proprietor health care provider with primary practice located at 5761 Wells Circle Prvt, Stone Mtn GA 30087-3008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Nelson, Nadine Ave can be contacted via phone (470) 782-2371.

Contact Information

Primary practice address
5761 Wells Circle Prvt Stone Mtn GA 30087-3008
Phone: (470) 782-2371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X LMT007938 Georgia

Profile Details

NPI number 1457942229
LBN Legal business name Nelson, Nadine Ave
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 3 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 1457942229 NPPES
Georgia MEDICAID 5520
Georgia MEDICAID 5520

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