Nelson, Richard Arnold

Nelson, Richard Arnold is an individual health care provider with primary practice located at 14519 Detroit Avenue , Lakewood OH 44107-4316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nelson, Richard Arnold can be contacted via phone (216) 521-4200.

Contact Information

Primary practice address
14519 Detroit Avenue Lakewood OH 44107-4316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35057444N Ohio

Profile Details

NPI number 1427099027
LBN Legal business name Nelson, Richard Arnold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 5th, 2011 - about 14 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 1427099027 NPPES
Ohio Other 942460636263 CARESOURCE
Ohio Other 010044041 CARESOURCE
Ohio MEDICAID 1427099027 CARESOURCE
Ohio MEDICAID 0876879 CARESOURCE

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