Nelson, Suzie C
Nelson, Suzie C is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Nelson, Suzie C can be contacted via phone (937) 641-4040.Contact Information
Primary practice address
1010 Valley St
Dayton OH 45404-2070
Phone: (937) 641-4040
Fax: (937) 641-3066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35.145399 | Ohio |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 47845 | Tennessee |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 01060785A | Indiana |
Profile Details
NPI number | 1235303017 |
---|---|
LBN Legal business name | Nelson, Suzie C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2008 |
Last updated | Oct 16th, 2023 - about last year |
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 | 1235303017 | NPPES |
Ohio | MEDICAID | 0491966 |
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