Nelson, Gary H

Nelson, Gary H is an sole proprietor health care provider with primary practice located at 707 Fairmount Ave Suite 11, Jamestown NY 14701-2623. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optician is his primary health care specialty. Nelson, Gary H can be contacted via phone (716) 483-1955.

Contact Information

Primary practice address
707 Fairmount Ave Suite 11 Jamestown NY 14701-2623
Phone: (716) 483-1955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 004127-1 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4127-1 New York

Profile Details

NPI number 1033277629
LBN Legal business name Nelson, Gary H
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Nov 3rd, 2011 - about 13 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 1033277629 NPPES
New York MEDICAID 00622124

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