Jellinek, Nathaniel Josef

Jellinek, Nathaniel Josef is an sole proprietor health care provider with primary practice located at 1672 S County Trl Suite 101, East Greenwich RI 02818-5098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Jellinek, Nathaniel Josef can be contacted via phone (404) 885-6647.

Contact Information

Primary practice address
1672 S County Trl Suite 101 East Greenwich RI 02818-5098
Phone: (404) 885-6647
Fax: (401) 885-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11514 Rhode Island
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 11514 Rhode Island

Profile Details

NPI number 1245256528
LBN Legal business name Jellinek, Nathaniel Josef
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Sep 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245256528 NPPES
Rhode Island MEDICAID NJ53855

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