Nielsen, David B

Nielsen, David B is an individual health care provider with primary practice located at 1055 N 300 W Ste 104 , Provo UT 84604-3344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Nielsen, David B can be contacted via phone (801) 225-6246.

Contact Information

Primary practice address
1055 N 300 W Ste 104 Provo UT 84604-3344
Phone: (801) 225-6246
Fax: (801) 225-1525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 04-33446 Kansas
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 2008036902 Missouri
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 11765834-1205 Utah

Profile Details

NPI number 1649383027
LBN Legal business name Nielsen, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 18th, 2020 - 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 1649383027 NPPES
Utah MEDICAID 1649383027

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