Individual
JOE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 LOGAN ST, MICHIGAN CITY, IN 46360-3851
(219) 851-0051
Mailing address
PO BOX 8533, MICHIGAN CITY, IN 46361-8533
(219) 851-0051
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0900537301
IN
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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