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Contact Information

PETER N NELSON, MD
5633 N. LIDERGERWOOD
SPOKANE, WA99208
 Phone: 509-482-0111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PETER N NELSON · (Male)

NPI Number 1134275365
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 000020435
  • WA Medicaid 8570301
  • WA Medicaid 9611674
  • WA Other MD00020435 LICENCE
  • WA Other G000362001 MDC PIN #
  • WA Other 10097730 MDC RR #
Hospital affiliation(s)
  • CLEARWATER VALLEY HOSPITAL & CLINICS - (Critical Access)
    301 CEDAR STREET
    OROFINO, ID 83544
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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