Nelson, Larry W.
Nelson, Larry W. is an individual health care provider with primary practice located at 160 Medical Circle First Floor, West Columbia SC 29169-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nelson, Larry W. can be contacted via phone (803) 796-6811.Contact Information
Primary practice address
160 Medical Circle First Floor
West Columbia SC 29169-3656
Phone: (803) 796-6811
Fax: (803) 796-6851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7166 | South Carolina |
Profile Details
| NPI number | 1932292430 |
|---|---|
| LBN Legal business name | Nelson, Larry W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 22nd, 2007 - about 19 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 | 1932292430 | NPPES |
| South Carolina | MEDICAID | 071665 |
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