Nelson, Susan Ellen
Nelson, Susan Ellen is an individual health care provider with primary practice located at 7436 Bishop Ott Dr , Baton Rouge LA 70806-8931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Nelson, Susan Ellen can be contacted via phone (225) 490-0604.Contact Information
Primary practice address
7436 Bishop Ott Dr
Baton Rouge LA 70806-8931
Phone: (225) 490-0604
Fax: (225) 490-0354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 10659R | Louisiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 10659R | Louisiana |
Profile Details
| NPI number | 1669471256 |
|---|---|
| LBN Legal business name | Nelson, Susan Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jun 24th, 2019 - about 7 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 | 1669471256 | NPPES |
| Louisiana | Other | P00106123 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1991597 | RAILROAD MEDICARE |
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