Nelson, Mason

Nelson, Mason is an individual health care provider with primary practice located at 1417 Altis Dr Unit 207 , Oconomowoc WI 53066-1293. 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, Mason can be contacted via phone (218) 530-0035.

Contact Information

Primary practice address
1417 Altis Dr Unit 207 Oconomowoc WI 53066-1293
Phone: (218) 530-0035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7511 Wisconsin

Profile Details

NPI number 1275233728
LBN Legal business name Nelson, Mason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2023
Last updated Apr 16th, 2026 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275233728 NPPES
Wisconsin MEDICAID 100253607

Popular Providers