Nielson, Lance Reece

Nielson, Lance Reece is an individual health care provider with primary practice located at 700 University City Blvd , Blacksburg VA 24060-2706. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Nielson, Lance Reece can be contacted via phone (540) 961-8300.

Contact Information

Primary practice address
700 University City Blvd Blacksburg VA 24060-2706
Phone: (540) 961-8300
Fax: (540) 961-8469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001167 Virginia

Profile Details

NPI number 1881923316
LBN Legal business name Nielson, Lance Reece
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2009
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881923316 NPPES
Virginia MEDICAID CO3501

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