Nelson, Suzie C

Nelson, Suzie C is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Nelson, Suzie C can be contacted via phone (937) 641-4040.

Contact Information

Primary practice address
1010 Valley St Dayton OH 45404-2070
Phone: (937) 641-4040
Fax: (937) 641-3066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35.145399 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 47845 Tennessee
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01060785A Indiana

Profile Details

NPI number 1235303017
LBN Legal business name Nelson, Suzie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Oct 16th, 2023 - about 3 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 1235303017 NPPES
Ohio MEDICAID 0491966

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