Nielson, Paul Douglas
Nielson, Paul Douglas is an individual health care provider with primary practice located at 105 Bona Vista Ln , Galax VA 24333-3605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nielson, Paul Douglas can be contacted via phone (808) 457-2570.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101261500 | Virginia |
Profile Details
| NPI number | 1114039070 |
|---|---|
| LBN Legal business name | Nielson, Paul Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114039070 | NPPES |
| Hawaii | MEDICAID | 013331-01 |
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