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
Fax: (918) 634-7560
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043209307 NPPES
Florida MEDICAID 271189300

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