Nelson, Roscoe S
Nelson, Roscoe S is an individual health care provider with primary practice located at 6320 W Union Hills Dr Bldg B Suite 2600, Glendale AZ 85308-1096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nelson, Roscoe S can be contacted via phone (602) 942-5600.Contact Information
Primary practice address
6320 W Union Hills Dr Bldg B Suite 2600
Glendale AZ 85308-1096
Phone: (602) 942-5600
Fax: (623) 825-6386
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 27180 | Arizona |
Profile Details
NPI number | 1962487462 |
---|---|
LBN Legal business name | Nelson, Roscoe S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2005 |
Last updated | Oct 8th, 2018 - about 6 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 | 1962487462 | NPPES |
Arizona | MEDICAID | 467870 |
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