Nielson, Nathan Daniel

Nielson, Nathan Daniel is an individual health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nielson, Nathan Daniel can be contacted via phone (479) 968-2841.

Contact Information

Primary practice address
1808 W Main St Russellville AR 72801-2724
Phone: (479) 968-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E7997 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO2419 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E7997 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8046571-1204 Utah

Profile Details

NPI number 1659697555
LBN Legal business name Nielson, Nathan Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Mar 15th, 2024 - about 9 months 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 1659697555 NPPES
Arkansas MEDICAID 199132003

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