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
Fax: (580) 931-2274
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265431522 NPPES
Texas MEDICAID 1027849-01
Texas MEDICAID 100113510A
Texas MEDICAID 117301001

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