Russell William Nelson in Thousand Oaks - Specialist
Russell William Nelson - NPI 1780620856
Russell William Nelson is a Specialist in Thousand Oaks, California. Russell William Nelson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell William Nelson is 1780620856. The last update date is 2021-04-05.
Russell William Nelson's current location address is Po Box 4679, Thousand Oaks, California. You can contact this provider via phone number 8053792322 and fax number 9782448700. The mailing address for Russell William Nelson is Po Box 4679, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell William Nelson |
|---|---|
| Address | Po Box 4679, Thousand Oaks, California |
| Phone Number | 8053792322 |
| Fax Number | 9782448700 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780620856 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | Po Box 4679 |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913591679 |
| Phone Number | 8053792322 |
| Fax Number | 9782448700 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G38011 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Russell William Nelson by the Centers for Medicare & Medicaid Services?
The Russell William Nelson has been issued the NPI (National Provider Identifier) 1780620856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russell William Nelson is physically located?
The Russell William Nelson is physically situated at the following address: Po Box 4679, Thousand Oaks, CA, 913591679.
What is the Russell William Nelson's specialty and taxonomy code?
The Russell William Nelson's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1780620856 assigned to Russell William Nelson?
The Russell William Nelson was issued its 1780620856 on 2006-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Russell William Nelson most recently updated or revised?
The details related to Russell William Nelson, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-05.