Nelson, Jacalyn A

Nelson, Jacalyn A is an individual health care provider with primary practice located at 2844 Index Rd , Fitchburg WI 53713-3117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Nelson, Jacalyn A can be contacted via phone (608) 229-7979.

Contact Information

Primary practice address
2844 Index Rd Fitchburg WI 53713-3117
Phone: (608) 229-7979
Fax: (608) 229-8110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 49405-20 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 49405-020 Wisconsin

Profile Details

NPI number 1063430833
LBN Legal business name Nelson, Jacalyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063430833 NPPES
Wisconsin MEDICAID 1063430833

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