Neilson, Ian

Neilson, Ian is an individual health care provider with primary practice located at 12650 N Beach St Ste 146 , Fort Worth TX 76244-4253. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Neilson, Ian can be contacted via phone (682) 238-1872.

Contact Information

Primary practice address
12650 N Beach St Ste 146 Fort Worth TX 76244-4253
Phone: (682) 238-1872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT-18-56266

Profile Details

NPI number 1811453962
LBN Legal business name Neilson, Ian
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2019
Last updated Feb 13th, 2019 - about 6 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 1811453962 NPPES
Other RBT-18-56266 BACB

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