Provider Demographics
NPI:1093839268
Name:NELSON, CURTIS E (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:E
Last Name:NELSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16250 NE 80TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3821
Mailing Address - Country:US
Mailing Address - Phone:425-867-1119
Mailing Address - Fax:425-883-9812
Practice Address - Street 1:16250 NE 80TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3821
Practice Address - Country:US
Practice Address - Phone:425-867-1119
Practice Address - Fax:425-883-9812
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT02023Medicare UPIN