Nelson, Jacob Henry

Nelson, Jacob Henry is an individual health care provider with primary practice located at 4764 Glenallen Ct Ne , Salem OR 97305-3030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Nelson, Jacob Henry can be contacted via phone (360) 831-3123.

Contact Information

Primary practice address
4764 Glenallen Ct Ne Salem OR 97305-3030
Phone: (360) 831-3123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0116035953 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X DO212889 Oregon

Profile Details

NPI number 1568920882
LBN Legal business name Nelson, Jacob Henry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Aug 31st, 2022 - 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.

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