BRUCE D NELSON; NPI #1891965562

Contact Information

BRUCE D NELSON

1131 JACKSON AVE
DETROIT LAKES, MN 56501-3618

Phone: 218-847-5663
Fax: 218-847-0964
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRUCE D NELSON

NPI #	`1891965562`
LBN Legal business name	BRUCE D NELSON
Authorized official	BRUCE NELSON - (OPTICIAN/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/09/2008
Last updated	07/16/2008 - About 18 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRUCE D NELSON

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BRUCE D NELSON

Reviews for BRUCE D NELSON