Provider Demographics
NPI:1609934017
Name:NELSON, ROCCO HARRY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:HARRY
Last Name:NELSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10635 NE 8TH ST
Mailing Address - Street 2:104
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4372
Mailing Address - Country:US
Mailing Address - Phone:425-455-1881
Mailing Address - Fax:425-455-1882
Practice Address - Street 1:12121 NORTHUP WAY
Practice Address - Street 2:STE 203
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1928
Practice Address - Country:US
Practice Address - Phone:425-895-8436
Practice Address - Fax:425-895-8110
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor