Nelson, Marie
Nelson, Marie is an individual health care provider with primary practice located at Bastogne St Bldg 5-4257 , Fort Bragg NC 28310-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nelson, Marie can be contacted via phone (910) 907-2575.Contact Information
Primary practice address
Bastogne St Bldg 5-4257
Fort Bragg NC 28310-0001
Phone: (910) 907-2575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200101127 | North Carolina |
Profile Details
| NPI number | 1629060850 |
|---|---|
| LBN Legal business name | Nelson, Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Feb 16th, 2017 - about 9 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 | 1629060850 | NPPES |
| North Carolina | MEDICAID | 89130XX |
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