Nelson, Susan Ellen

Nelson, Susan Ellen is an individual health care provider with primary practice located at 7436 Bishop Ott Dr , Baton Rouge LA 70806-8931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Nelson, Susan Ellen can be contacted via phone (225) 490-0604.

Contact Information

Primary practice address
7436 Bishop Ott Dr Baton Rouge LA 70806-8931
Phone: (225) 490-0604
Fax: (225) 490-0354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 10659R Louisiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 10659R Louisiana

Profile Details

NPI number 1669471256
LBN Legal business name Nelson, Susan Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 24th, 2019 - about 7 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 1669471256 NPPES
Louisiana Other P00106123 RAILROAD MEDICARE
Louisiana MEDICAID 1991597 RAILROAD MEDICARE

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