Nelson, Todd R
Nelson, Todd R is an individual health care provider with primary practice located at 240 Maple Ave Prohealth Care Medical Associates Inc., Mukwonago WI 53149-8475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Todd R can be contacted via phone (262) 928-1900.Contact Information
Primary practice address
240 Maple Ave Prohealth Care Medical Associates Inc.
Mukwonago WI 53149-8475
Phone: (262) 928-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 56176 | Wisconsin |
Profile Details
| NPI number | 1457562126 |
|---|---|
| LBN Legal business name | Nelson, Todd R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457562126 | NPPES |
| Wisconsin | MEDICAID | 100031467 |
Popular Providers
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Meyer, Linda Joy
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240 Maple Ave. Prohealth Care Medical Associates, Inc., Mukwonago WI 53149-8475