Nelson, Grant V.
Nelson, Grant V. is an individual health care provider with primary practice located at 6405 France Ave S Suite W440, Edina MN 55435-2163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nelson, Grant V. can be contacted via phone (952) 927-7004.Contact Information
Primary practice address
6405 France Ave S Suite W440
Edina MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10136 | Minnesota |
Profile Details
| NPI number | 1598700510 |
|---|---|
| LBN Legal business name | Nelson, Grant V. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Nov 25th, 2014 - about 12 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 | 1598700510 | NPPES |
| Minnesota | Other | 10136 | LICENSE |
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