Nelson, Sean
Nelson, Sean is an sole proprietor health care provider with primary practice located at 720 N Denton Tap Rd , Coppell TX 75019-2162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nelson, Sean can be contacted via phone (469) 312-3080.Contact Information
Primary practice address
720 N Denton Tap Rd
Coppell TX 75019-2162
Phone: (469) 312-3080
Fax: (281) 209-8930
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207PH0002X | 3902000X | Texas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | P9412 | Texas |
Profile Details
NPI number | 1093927709 |
---|---|
LBN Legal business name | Nelson, Sean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2007 |
Last updated | Nov 16th, 2015 - about 9 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 | 1093927709 | NPPES |
Texas | Other | 1093739906 | TRICARE - SOUTH |
Texas | MEDICAID | 339445403 | TRICARE - SOUTH |
Texas | Other | 8EG584 | TRICARE - SOUTH |
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