Nelson, Peter
Nelson, Peter is an individual health care provider with primary practice located at 500 Lincoln Park Blvd Ste 110 , Kettering OH 45429-6410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nelson, Peter can be contacted via phone (937) 531-5020.Contact Information
Primary practice address
500 Lincoln Park Blvd Ste 110
Kettering OH 45429-6410
Phone: (937) 531-5020
Fax: (937) 298-4385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17072 | New Hampshire |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.131380 | Ohio |
Profile Details
| NPI number | 1457610784 |
|---|---|
| LBN Legal business name | Nelson, Peter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2012 |
| Last updated | Nov 1st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457610784 | NPPES |
| Ohio | MEDICAID | 0226758 |
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