Powell, Eddie Nelson

Powell, Eddie Nelson is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Powell, Eddie Nelson can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
130 2Nd St Neenah WI 54956-2883
Phone: (920) 831-5050
Fax: (920) 729-2104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2008-00223 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME134076 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X MD431207 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 74376 Wisconsin

Profile Details

NPI number 1992909543
LBN Legal business name Powell, Eddie Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Nov 18th, 2020 - about 6 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 1992909543 NPPES
Florida MEDICAID 023280000
Florida MEDICAID 5909616
Florida MEDICAID 1020598790001
Florida MEDICAID 2799066
Florida MEDICAID 3810010940

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