Nelson, Shawn Keith

Nelson, Shawn Keith is an individual health care provider with primary practice located at 3183 W State St Suite 1201, Bristol TN 37620-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nelson, Shawn Keith can be contacted via phone (423) 764-0987.

Contact Information

Primary practice address
3183 W State St Suite 1201 Bristol TN 37620-1712
Phone: (423) 764-0987
Fax: (423) 652-2512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34012 Tennessee

Profile Details

NPI number 1346233020
LBN Legal business name Nelson, Shawn Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 20th, 2012 - about 13 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 1346233020 NPPES
Tennessee MEDICAID 3854328
Tennessee MEDICAID 007101147
Tennessee MEDICAID 3152685
Tennessee MEDICAID 010365040

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