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Contact Information

MARK G NELSON, PAC
4015 HWY I 49 SOUTH SERVICE RD
OPELOUSAS, LA70570
 Phone: 337-942-6503
 Fax: 337-942-8831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK G NELSON · (Male)

NPI Number 1750312468
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # LA10059
Hospital affiliation(s)
  • OPELOUSAS GENERAL HEALTH SYSTEM - (Acute Care)
    539 EAST PRUDHOMME STREET
    OPELOUSAS, LA 70570
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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