Nelson, Matthew Robert

Nelson, Matthew Robert is an individual health care provider with primary practice located at 1610 Maxwell Dr Suite 100, Hudson WI 54016-8709. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nelson, Matthew Robert can be contacted via phone (715) 386-9393.

Contact Information

Primary practice address
1610 Maxwell Dr Suite 100 Hudson WI 54016-8709
Phone: (715) 386-9393
Fax: (715) 386-9885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3008 Wisconsin

Profile Details

NPI number 1083794192
LBN Legal business name Nelson, Matthew Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083794192 NPPES
Wisconsin Other 3008 STATE DC LICENSE
Wisconsin Other 3110 STATE DC LICENSE
Wisconsin MEDICAID 3706511 STATE DC LICENSE
Wisconsin MEDICAID 38874700 STATE DC LICENSE

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