Nelson, Robert

Nelson, Robert is an individual health care provider with primary practice located at 350 W Country Club Rd Suite #205, Roswell NM 88201-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nelson, Robert can be contacted via phone (575) 622-7593.

Contact Information

Primary practice address
350 W Country Club Rd Suite #205 Roswell NM 88201-5205
Phone: (575) 622-7593
Fax: (575) 622-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD00029981 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X MD2013-0026 New Mexico

Profile Details

NPI number 1356336382
LBN Legal business name Nelson, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Mar 7th, 2013 - about 13 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 1356336382 NPPES
Washington Other 0222357 L&I
Washington MEDICAID 8141012 L&I
Washington Other 8944748 L&I

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