Nelson, Michael W

Nelson, Michael W is an individual health care provider with primary practice located at 1323 East Wood Street , Paris TN 38242-4421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nelson, Michael W can be contacted via phone (731) 642-2011.

Contact Information

Primary practice address
1323 East Wood Street Paris TN 38242-4421
Phone: (731) 642-2011
Fax: (731) 644-2758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD21736 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21736 Tennessee

Profile Details

NPI number 1124112727
LBN Legal business name Nelson, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 2nd, 2015 - about 10 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 1124112727 NPPES
Tennessee MEDICAID 29208

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