National Provider Identifier Database

JOHN M NIELSEN, DPM – NPI #1821186263
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JOHN M NIELSEN, DPM
1253 N ALPINE RD
ROCKFORD, IL61107
Phone: 779-696-9201
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JOHN M NIELSEN

NPI Number 1821186263
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/11/2006
Last updated 02/19/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 016004542
  • IL Medicaid: 016004542
Hospital affiliation n/a

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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