Dr. Fred C. Nelson
Chiropractic Sports Physician
10405 Ligon Mill Rd Ste F
Wake Forest
, North Carolina 27587-5013
Dr. Fred C. Nelson
Chiropractic Sports Physician
10405 Ligon Mill Rd Ste F
Wake Forest
, North Carolina 27587-5013
(919) 556-0996
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Fred C. Nelson
- 10405 Ligon Mill Rd Ste F
- Wake Forest, NC
- Zip : 27587-5013
- Fax : (919) 556-0996
- Phone : (919) 556-2014
Second Address
- Dr. Fred C. Nelson
- 10405 Ligon Mill Rd Ste F
- Wake Forest, NC
- Zip : 27587-5013
- Fax : (919) 556-0996
- Phone : (919) 556-2014
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 1075 | NC |
National Provider Identifier
| NPI | 1316979495 |
|---|---|
| Provider Name | Dr. Fred C. Nelson |
| First Address | Wake Forest, NC 27587-5013 |
| Second Address | Wake Forest, NC 27587-5013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 08664 | BLUE CROSS BLUE SHIELD NC (01) | NC |
| 2343112 | AETNA/HMO (01) | NC |
| 4455933 | AETNA/NON-HMO (01) | NC |
| 666372 | ACN (01) | NC |
| 8908664 | (05) | NC |
| T64335 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.