Nielson, Michael H
Nielson, Michael H is an individual health care provider with primary practice located at 3619 S Delaware Ave , Independence MO 64055-3188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nielson, Michael H can be contacted via phone (816) 254-7310.Contact Information
Primary practice address
3619 S Delaware Ave
Independence MO 64055-3188
Phone: (816) 254-7310
Fax: (816) 461-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R6157 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0414225 | Kansas |
Profile Details
| NPI number | 1710944764 |
|---|---|
| LBN Legal business name | Nielson, Michael H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 25th, 2012 - about 13 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 | 1710944764 | NPPES |
| Missouri | Other | 27663024 | BCBS - KC |
| Missouri | MEDICAID | 100446300A | BCBS - KC |
| Missouri | Other | 148565 | BCBS - KC |
| Missouri | MEDICAID | 203190020 | BCBS - KC |
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