Nelson, Russell William
Nelson, Russell William is an individual health care provider with primary practice located at 250 Lombard St Ste 1 , Thousand Oaks CA 91360-8208. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nelson, Russell William can be contacted via phone (805) 370-0748.Contact Information
Primary practice address
250 Lombard St Ste 1
Thousand Oaks CA 91360-8208
Phone: (805) 370-0748
Fax: (978) 244-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G38011 | California |
Profile Details
| NPI number | 1780620856 |
|---|---|
| LBN Legal business name | Nelson, Russell William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 5th, 2021 - about 3 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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