Nelson, Tim L
Nelson, Tim L is an individual health care provider with primary practice located at 1600 Roosevelt Ave Ste A, Mount Vernon WA 98273-2646. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Nelson, Tim L can be contacted via phone (360) 428-0304.Contact Information
Primary practice address
1600 Roosevelt Ave Ste A
Mount Vernon WA 98273-2646
Phone: (360) 428-0304
Fax: (360) 428-0968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1801096045 |
|---|---|
| LBN Legal business name | Nelson, Tim L |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | May 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801096045 | NPPES |
| Washington | Other | 0227918 | LABOR AND INDUSTRIES |
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