Nelson, Theresa M
Nelson, Theresa M is an sole proprietor health care provider with primary practice located at 2570 Lakeshore Cir , Port Charlotte FL 33952-4116. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Nelson, Theresa M can be contacted via phone (941) 258-0995.Contact Information
Primary practice address
2570 Lakeshore Cir
Port Charlotte FL 33952-4116
Phone: (941) 258-0995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | MA#54341 | Florida |
Profile Details
| NPI number | 1639303449 |
|---|---|
| LBN Legal business name | Nelson, Theresa M |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2009 |
| Last updated | May 7th, 2009 - about 17 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 | 1639303449 | NPPES |
| Florida | Other | MA 54341 | MASSAGE THERAPIST |
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