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Contact Information

ADAM S NIELSON, MD
250 W 300 N
ROOSEVELT, UT84066-2351
 Phone: 435-722-4691
 Fax: 435-722-9291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ADAM S NIELSON · (Male)

NPI Number 1790756815
Status Active
Credentials MD
Entity Individual
Enumeration date 01/27/2006
Last updated 01/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NE License # 23355
  • UT License # 10104037-1205
  • WA License # MD60130455
  • MT Medicaid 1790756815
  • WA Medicaid 1790756815
Hospital affiliation(s)
  • ASHLEY VALLEY MEDICAL CENTER - (Acute Care)
    150 WEST 100 NORTH
    VERNAL, UT 84078
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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