Nelson, Richard Alan

Nelson, Richard Alan is an individual health care provider with primary practice located at 5707 Jenny Lind Rd , Fort Smith AR 72908-7435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nelson, Richard Alan can be contacted via phone (479) 452-9416.

Contact Information

Primary practice address
5707 Jenny Lind Rd Fort Smith AR 72908-7435
Phone: (479) 452-9416
Fax: (479) 484-0827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E2445 Arkansas

Profile Details

NPI number 1356317689
LBN Legal business name Nelson, Richard Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 6th, 2019 - about 5 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 1356317689 NPPES
Oklahoma MEDICAID 100186770A
Oklahoma MEDICAID 139659001

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