Nelson, David Brian
Nelson, David Brian is an individual health care provider with primary practice located at 410 S Herlong Ave Suite 103, Rock Hill SC 29732-8349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Nelson, David Brian can be contacted via phone (803) 985-3937.Contact Information
Primary practice address
410 S Herlong Ave Suite 103
Rock Hill SC 29732-8349
Phone: (803) 985-3937
Fax: (803) 985-3922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 22281 | South Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22281 | South Carolina |
Profile Details
| NPI number | 1760441240 |
|---|---|
| LBN Legal business name | Nelson, David Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Aug 16th, 2021 - about 5 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 | 1760441240 | NPPES |
| South Carolina | Other | 22281 | SC LICENSE |
| South Carolina | Other | 201017243 | SC LICENSE |
| South Carolina | Other | 1437370657 | SC LICENSE |
| South Carolina | MEDICAID | GP4138 | SC LICENSE |
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