Nelson, Jacob
Nelson, Jacob is an individual health care provider with primary practice located at 697 Louisiana Rd , Dyess Afb TX 79607-1141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nelson, Jacob can be contacted via phone (325) 696-4677.Contact Information
Primary practice address
697 Louisiana Rd
Dyess Afb TX 79607-1141
Phone: (325) 696-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BP10056551 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | O-1220 | Idaho |
Profile Details
| NPI number | 1144675679 |
|---|---|
| LBN Legal business name | Nelson, Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2016 |
| Last updated | Jun 21st, 2019 - 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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