Neilson, Ian R

Neilson, Ian R is an individual health care provider with primary practice located at 887 Congress St Suite 300, Portland ME 04102-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Neilson, Ian R can be contacted via phone (207) 662-5555.

Contact Information

Primary practice address
887 Congress St Suite 300 Portland ME 04102-3100
Phone: (207) 662-5555
Fax: (207) 662-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 5423 Alaska
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD18028 Maine

Profile Details

NPI number 1447330410
LBN Legal business name Neilson, Ian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 26th, 2014 - about 10 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 1447330410 NPPES
New Hampshire MEDICAID 30208266
New Hampshire MEDICAID 433399099
New Hampshire MEDICAID MD98332

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