Nelson, Jason D
Nelson, Jason D is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 130, Bossier City LA 71111-2385. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nelson, Jason D can be contacted via phone (318) 212-7990.Contact Information
Primary practice address
2400 Hospital Dr Suite 130
Bossier City LA 71111-2385
Phone: (318) 212-7990
Fax: (318) 212-7995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 202992 | Louisiana |
Profile Details
NPI number | 1700097235 |
---|---|
LBN Legal business name | Nelson, Jason D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2007 |
Last updated | Jan 20th, 2012 - about 13 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 | 1700097235 | NPPES |
Louisiana | MEDICAID | 07858 | |
Louisiana | MEDICAID | 1078581 |
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