Tackett-Nelson, Steven Charles
Tackett-Nelson, Steven Charles is an individual health care provider with primary practice located at 821 Saginaw Street S , Salem OR 97302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tackett-Nelson, Steven Charles can be contacted via phone (503) 362-1999.Contact Information
Primary practice address
821 Saginaw Street S
Salem OR 97302
Phone: (503) 362-1999
Fax: (503) 362-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD15455 | Oregon |
Profile Details
| NPI number | 1245324797 |
|---|---|
| LBN Legal business name | Tackett-Nelson, Steven Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1245324797 | NPPES |
| Other | A006 | TRICARE |
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