Organization
ADVANCE & HOLD HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ENOCH NELSON NP (PRESIDENT)
(219) 588-3176
Entity
Organization
Contact information
Practice address
5475 BROADWAY # 133, MERRILLVILLE, IN 46410-1647
(219) 588-3176
Mailing address
5475 BROADWAY # 133, MERRILLVILLE, IN 46410-1647
(219) 588-3176
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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