Provider Demographics
NPI:1851498414
Name:NELSON'S SURGICAL, INC.
Entity Type:Organization
Organization Name:NELSON'S SURGICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LUXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-876-4935
Mailing Address - Street 1:2711 EDGMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-3316
Mailing Address - Country:US
Mailing Address - Phone:610-876-4935
Mailing Address - Fax:
Practice Address - Street 1:2711 EDGMONT AVE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:PA
Practice Address - Zip Code:19015-3316
Practice Address - Country:US
Practice Address - Phone:610-876-4935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
PA6000003505332S00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332S00000XSuppliersHearing Aid Equipment
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier