Nelson, Mark Robert

Nelson, Mark Robert is an individual health care provider with primary practice located at 301 W Washington Blvd , Crescent City CA 95531-8340. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Nelson, Mark Robert can be contacted via phone (707) 464-6141.

Contact Information

Primary practice address
301 W Washington Blvd Crescent City CA 95531-8340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1447145644
LBN Legal business name Nelson, Mark Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2025
Last updated Jun 10th, 2025 - about last year

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.

Request for update

Popular Providers