Nellessen, Nathan Jack

Nellessen, Nathan Jack is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Nellessen, Nathan Jack can be contacted via phone (909) 558-6491.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-6491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A180188 California

Profile Details

NPI number 1548849102
LBN Legal business name Nellessen, Nathan Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2021
Last updated Jul 20th, 2023 - about 2 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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