Neilson, Jeffrey C
Neilson, Jeffrey C is an individual health care provider with primary practice located at 1400 Bryan Dr Suite 304, Durant OK 74701-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Neilson, Jeffrey C can be contacted via phone (580) 931-2278.Contact Information
Primary practice address
1400 Bryan Dr Suite 304
Durant OK 74701-2156
Phone: (580) 931-2278
Fax: (580) 931-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G8932 | Texas |
Profile Details
| NPI number | 1265431522 |
|---|---|
| LBN Legal business name | Neilson, Jeffrey C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Sep 3rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265431522 | NPPES |
| Texas | MEDICAID | 1027849-01 | |
| Texas | MEDICAID | 100113510A | |
| Texas | MEDICAID | 117301001 |
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