Nelson, Donna

Nelson, Donna is an individual health care provider with primary practice located at 322 Walnut Street , La Jara CO 81140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Nelson, Donna can be contacted via phone (719) 589-3671.

Contact Information

Primary practice address
322 Walnut Street La Jara CO 81140
Phone: (719) 589-3671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37378 Colorado
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X DR.0037378 Colorado

Profile Details

NPI number 1962479907
LBN Legal business name Nelson, Donna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 20th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962479907 NPPES
New Mexico MEDICAID 43475
New Mexico MEDICAID 77337077

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