Nelson, Derek M

Nelson, Derek M is an individual health care provider with primary practice located at 810 N 22Nd St , Blair NE 68008-1128. 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. Nelson, Derek M can be contacted via phone (402) 426-2182.

Contact Information

Primary practice address
810 N 22Nd St Blair NE 68008-1128
Phone: (402) 426-2182
Fax: (402) 426-1190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1126 Nebraska

Profile Details

NPI number 1659325033
LBN Legal business name Nelson, Derek M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1659325033 NPPES
Nebraska Other 30694 BLUE CROSS
Nebraska MEDICAID 10025300500 BLUE CROSS
Nebraska MEDICAID 10025355300 BLUE CROSS
Nebraska Other 12350231 BLUE CROSS

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