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DR. MICHAEL D NELSON DC NPI 1982697983


NPI Information

NPI: 1982697983
Provider Name: DR. MICHAEL D NELSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1307 W WASHINGTON ST
SUITE 115
OREGON, IL
ZIP 61061
Phone: (815) 732-2826
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DR. Michael D Nelson, DC is a chiropractor in Oregon, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Michael D Nelson, DC NPI is 1982697983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1307 W WASHINGTON ST
SUITE 115
OREGON, IL
ZIP 61061-022
Phone: (815) 732-2826
Fax: (815) 732-7617

The enumeration date for this NPI number is 8/24/2005 and was last updated on 7/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038009841ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T62855MEDICARE UPINILLINOIS
2L96531MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE NUMBER
3038009841MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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