Nielson, David E

Nielson, David E is an individual health care provider with primary practice located at 6140 W Curtisian Ave Ste 400 , Boise ID 83704-8907. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nielson, David E can be contacted via phone (208) 327-5600.

Contact Information

Primary practice address
6140 W Curtisian Ave Ste 400 Boise ID 83704-8907
Phone: (208) 327-5600
Fax: (208) 327-5602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1183 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1183 Idaho

Profile Details

NPI number 1124393939
LBN Legal business name Nielson, David E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated May 9th, 2022 - 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 1124393939 NPPES
Idaho MEDICAID 1124393939
Idaho Other 100001760728
Idaho Other PA734

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