Nelson, Gregory N
Nelson, Gregory N is an individual health care provider with primary practice located at 12349 De Paul Dr Ste 100 , Bridgeton MO 63044-2512. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nelson, Gregory N can be contacted via phone (314) 291-7900.Contact Information
Primary practice address
12349 De Paul Dr Ste 100
Bridgeton MO 63044-2512
Phone: (314) 291-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 49237 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25MA09367900 | New Jersey |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD448629 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 49237 | Arizona |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 49237 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2017006909 | Missouri |
Profile Details
| NPI number | 1114174265 |
|---|---|
| LBN Legal business name | Nelson, Gregory N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Nov 19th, 2020 - about 4 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 | 1114174265 | NPPES |
| Arizona | MEDICAID | PENDING |
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