Nelson, Thomas Mark

Nelson, Thomas Mark is an individual health care provider with primary practice located at 920 E 1St St Suite P302, Duluth MN 55805-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nelson, Thomas Mark can be contacted via phone (218) 249-6050.

Contact Information

Primary practice address
920 E 1St St Suite P302 Duluth MN 55805-2201
Phone: (218) 249-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34418 Minnesota

Profile Details

NPI number 1942251202
LBN Legal business name Nelson, Thomas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 2nd, 2021 - about 4 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 1942251202 NPPES
Minnesota Other 020052636 MEDICARE RR
Minnesota MEDICAID 732708100 MEDICARE RR

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