Nelson, Matthew Paul

Nelson, Matthew Paul is an individual health care provider with primary practice located at 800 Riverside Dr , Waupaca WI 54981-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nelson, Matthew Paul can be contacted via phone (715) 258-1000.

Contact Information

Primary practice address
800 Riverside Dr Waupaca WI 54981-1943
Phone: (715) 258-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS013189 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 57397-21 Wisconsin

Profile Details

NPI number 1720030422
LBN Legal business name Nelson, Matthew Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720030422 NPPES
Pennsylvania Other 001753894 BLUE SHIELD
Pennsylvania MEDICAID 1013578200005 BLUE SHIELD
Pennsylvania Other P00409100 BLUE SHIELD
Pennsylvania Other P01099948 BLUE SHIELD

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