Nelson, Duane James
Nelson, Duane James is an individual health care provider with primary practice located at 1055 N 300 W Ste 204, Provo UT 84604-3374. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nelson, Duane James can be contacted via phone (801) 357-7373.Contact Information
Primary practice address
1055 N 300 W Ste 204
Provo UT 84604-3374
Phone: (801) 357-7373
Fax: (801) 357-7217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1827901205 | Utah |
Profile Details
| NPI number | 1841296498 |
|---|---|
| LBN Legal business name | Nelson, Duane James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 10th, 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 | 1841296498 | NPPES |
| Utah | MEDICAID | D2726 |
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