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Contact Information

NATHANIEL PELSOR, OD
6149 E COLUMBIA ST
EVANSVILLE, IN47715
 Phone: 812-424-2020
 Fax: 812-424-3000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NATHANIEL PELSOR · (Male)

NPI Number 1588977987
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/14/2010
Last updated 04/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18003639A
  • KY License # 1816DT
  • IN Medicaid 201031930
  • KY Medicaid 7100184100
Hospital affiliation(s) Not Available
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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