Nelson, Todd Michael

Nelson, Todd Michael is an sole proprietor health care provider with primary practice located at 901 E Grove St Suite T., Bloomington IL 61701-4200. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Nelson, Todd Michael can be contacted via phone (309) 532-3104.

Contact Information

Primary practice address
901 E Grove St Suite T. Bloomington IL 61701-4200
Phone: (309) 532-3104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-003983 Illinois

Profile Details

NPI number 1073665501
LBN Legal business name Nelson, Todd Michael
Credentials M.S., L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Feb 7th, 2017 - 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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