Fred C. Nelson in Wake Forest - Sports Physician
Fred C. Nelson - NPI 1316979495
Fred C. Nelson is a Sports Physician in Wake Forest, North Carolina. Fred C. Nelson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Fred C. Nelson is 1316979495. The last update date is 2007-07-08.
Fred C. Nelson's current location address is 10405 Ligon Mill Rd Ste F, Wake Forest, North Carolina. You can contact this provider via phone number 9195562014 and fax number 9195560996. The mailing address for Fred C. Nelson is 10405 Ligon Mill Rd Ste F, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred C. Nelson |
|---|---|
| Address | 10405 Ligon Mill Rd Ste F, Wake Forest, North Carolina |
| Phone Number | 9195562014 |
| Fax Number | 9195560996 |
| Sole Proprietor | N |
| Credentials | D.C., C.C. |
NPI Number Detail
| NPI Number | 1316979495 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10405 Ligon Mill Rd Ste F |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275875013 |
| Phone Number | 9195562014 |
| Fax Number | 9195560996 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1075 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 666372 | NC | ACN | |
| 8664 | NC | BLUE CROSS BLUE SHIELD NC | |
| 8908664 | NC | -- | |
| 2343112 | NC | AETNA/HMO | |
| 4455933 | NC | AETNA/NON-HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fred C. Nelson by the Centers for Medicare & Medicaid Services?
The Fred C. Nelson has been assigned the NPI (National Provider Identifier) 1316979495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Fred C. Nelson located?
The Fred C. Nelson is located at 10405 Ligon Mill Rd Ste F, Wake Forest, NC 275875013.
What is Fred C. Nelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fred C. Nelson's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did Fred C. Nelson receive its 1316979495 assignment from the Centers for Medicare & Medicaid Services?
The Fred C. Nelson was assigned its 1316979495 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Fred C. Nelson most recently updated or revised?
The details related to Fred C. Nelson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.