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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1700097235 NPPES
Louisiana MEDICAID 07858
Louisiana MEDICAID 1078581

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