Provider Demographics
NPI:1710629241
Name:NELSON NEUROLOGY, P.C.
Entity Type:Organization
Organization Name:NELSON NEUROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-941-6363
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:LESTER
Mailing Address - State:IA
Mailing Address - Zip Code:51242-0095
Mailing Address - Country:US
Mailing Address - Phone:712-266-5458
Mailing Address - Fax:
Practice Address - Street 1:1415 N SANBORN BLVD
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-1015
Practice Address - Country:US
Practice Address - Phone:605-990-2178
Practice Address - Fax:605-990-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty