Alan Joseph Nelis Sr.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

52 Malibu Dr
East Palestine, OH 44413-1452

Phone

(330) 501-3117

Fax

(330) 886-0436

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093917809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MALIBU DR",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131452",
            "telephone_number": "330-501-3117",
            "fax_number": "330-886-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MALIBU DR",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131452",
            "telephone_number": "330-501-3117",
            "fax_number": "330-886-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELIS",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in East Palestine, OH
• Providers in East Palestine, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.