Nelson, Gregory John
Nelson, Gregory John is an individual health care provider with primary practice located at 36500 Aurora Dr Ste 430, Summit WI 53066-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nelson, Gregory John can be contacted via phone (414) 454-6779.Contact Information
Primary practice address
36500 Aurora Dr Ste 430
Summit WI 53066-4899
Phone: (414) 454-6779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9509 | Nevada |
Profile Details
| NPI number | 1841299385 |
|---|---|
| LBN Legal business name | Nelson, Gregory John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841299385 | NPPES |
| Nevada | MEDICAID | 002003754 | |
| Nevada | MEDICAID | 00G857910 | |
| Nevada | MEDICAID | XPY193917 |
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