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Contact Information

GARY D NELSON, P.A-C
1 MEDICAL PLAZA DR
ROSEVILLE, CA95661-3037
 Phone: 916-781-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GARY D NELSON · (Male)

NPI Number 1467474908
Credentials P.A-C
Entity Individual
Enumeration date 07/24/2006
Last updated 10/26/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
CA License # PA11919
CA Medicare PIN 0PA119190
CA Medicare UPIN S66897
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL - SACRAMENTO - (Acute Care)
    2025 MORSE AVENUE
    SACRAMENTO, CA 95825
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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