Nelson, Scott R

Nelson, Scott R is an sole proprietor health care provider with primary practice located at 24361 El Toro Rd Suite 120, Laguna Woods CA 92637-2755. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Nelson, Scott R can be contacted via phone (949) 916-6321.

Contact Information

Primary practice address
24361 El Toro Rd Suite 120 Laguna Woods CA 92637-2755
Phone: (949) 916-6321
Fax: (949) 916-6340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G3643 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X G3643 Texas
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X G3643 Texas

Profile Details

NPI number 1285696278
LBN Legal business name Nelson, Scott R
Credentials D.O., FACEP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Mar 26th, 2015 - about 10 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 1285696278 NPPES
Texas MEDICAID 136522311

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