Nelson, Jay C
Nelson, Jay C is an sole proprietor health care provider with primary practice located at 446 3Rd Ave W , Dickinson ND 58601-4940. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nelson, Jay C can be contacted via phone (701) 225-2020.Contact Information
Primary practice address
446 3Rd Ave W
Dickinson ND 58601-4940
Phone: (701) 225-2020
Fax: (701) 483-5879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 547 | North Dakota |
Profile Details
| NPI number | 1639149891 |
|---|---|
| LBN Legal business name | Nelson, Jay C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 24th, 2010 - about 14 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 | 1639149891 | NPPES |
| North Dakota | Other | 800547 | BLUE CROSS VISION |
| North Dakota | MEDICAID | 60500 | BLUE CROSS VISION |
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