Nelson, Gary E
Nelson, Gary E is an individual health care provider with primary practice located at 150 E Center St Suite 1100, Provo UT 84606-3106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Nelson, Gary E can be contacted via phone (801) 374-7011.Contact Information
Primary practice address
150 E Center St Suite 1100
Provo UT 84606-3106
Phone: (801) 374-7011
Fax: (801) 374-7009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 105991-1206 | Utah |
Profile Details
| NPI number | 1629035795 |
|---|---|
| LBN Legal business name | Nelson, Gary E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jan 2nd, 2013 - about 12 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 | 1629035795 | NPPES |
| Utah | MEDICAID | 05664 |
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