Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G388410 | CA |
NPI | 1043391667 |
---|---|
Provider Name | Elvert Franklyn Nelson |
First Address | Carmichael, CA 95608-6367 |
Second Address | Carmichael, CA 95608-6335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 18/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G388410 | (05) | CA |
C93392 | (02) |