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Contact Information

REX Z NILSON, DPM
7320 216TH ST SW STE 320B
EDMONDS, WA98026
 Phone: 425-775-6996
 Fax: 425-670-8905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for REX Z NILSON · (Male)

NPI Number 1386744324
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/22/2006
Last updated 06/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PO00000340
  • WA License # PO0000034O
  • WA Medicaid 1004092
  • WA Medicaid 1009272
  • WA Other 81436 L&I
  • WA Other PO0000034O STATE LICENSE
Hospital affiliation(s)
  • SWEDISH EDMONDS HOSPITAL - (Acute Care)
    21601 76TH AVENUE WEST
    EDMONDS, WA 98026
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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