Nelson, Peter Richard
Nelson, Peter Richard is an individual health care provider with primary practice located at 1919 S Wheeling Ave Ste 600 , Tulsa OK 74104-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Nelson, Peter Richard can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
1919 S Wheeling Ave Ste 600
Tulsa OK 74104-5635
Phone: (918) 619-4400
Fax: (918) 634-7560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 33362 | Oklahoma |
Profile Details
NPI number | 1043209307 |
---|---|
LBN Legal business name | Nelson, Peter Richard |
Credentials | MD, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2005 |
Last updated | Dec 21st, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043209307 | NPPES |
Florida | MEDICAID | 271189300 |
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