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
Fax: (623) 825-6386
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962487462 NPPES
Arizona MEDICAID 467870

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