Nelson, Thomas Craig

Nelson, Thomas Craig is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Nelson, Thomas Craig can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 29390 Minnesota

Profile Details

NPI number 1093749384
LBN Legal business name Nelson, Thomas Craig
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 19th, 2011 - about 14 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 1093749384 NPPES
Wisconsin MEDICAID 31593500
Wisconsin MEDICAID 959797200

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