Provider Demographics
NPI:1992890875
Name:NELSON, STEVEN M (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:NELSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88004-0155
Mailing Address - Country:US
Mailing Address - Phone:575-522-0051
Mailing Address - Fax:575-522-3575
Practice Address - Street 1:2902 HILLRISE DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4702
Practice Address - Country:US
Practice Address - Phone:575-522-0051
Practice Address - Fax:575-522-3575
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM00KK84OtherBCBS
P00354164OtherRAILROAD MEDICARE
P00354164OtherRAILROAD MEDICARE
U74237Medicare UPIN