Provider Demographics
NPI:1922080498
Name:NIELSEN, DAVID ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:NIELSEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:183 SPOTNAP RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8812
Mailing Address - Country:US
Mailing Address - Phone:434-244-8412
Mailing Address - Fax:434-244-8415
Practice Address - Street 1:183 SPOTNAP RD
Practice Address - Street 2:SUITE C
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8812
Practice Address - Country:US
Practice Address - Phone:434-244-8412
Practice Address - Fax:434-244-8415
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2011-06-22
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Provider Licenses
StateLicense IDTaxonomies
VA0102201260207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA020577234OtherCHAMPUS/TRICARE
VA020577234OtherVA HEALTH NETWORK INS CO
VA020577234OtherFIRST HEALTH INSURANCE CO
VA6270745OtherCIGNA INSURANCE COMPANY
VA276483OtherANTHEM
200044354OtherPALMETTO GBA RAILROAD
VA020577234OtherPHCS INSURANCE CO
VA184497OtherSOUTHERN HEALTH INS CO
VA184497OtherSOUTHERN HEALTH INS CO
200044354OtherPALMETTO GBA RAILROAD