Nelms, Michael J.

Nelms, Michael J. is an individual health care provider with primary practice located at 4060 Fourth Ave Suite 415, San Diego CA 92103-2116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nelms, Michael J. can be contacted via phone (619) 298-9809.

Contact Information

Primary practice address
4060 Fourth Ave Suite 415 San Diego CA 92103-2116
Fax: (619) 298-9823
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14379 California

Profile Details

NPI number 1235113580
LBN Legal business name Nelms, Michael J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 15th, 2016 - about 10 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 1235113580 NPPES
California Other P00892151 RR MEDICARE -CA GROUP PTAN CD5363

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