Nelson, Jeffrey Donald

Nelson, Jeffrey Donald is an individual health care provider with primary practice located at 2222 Bancroft Ext University Health Service- Clinical Services, Berkeley CA 94720-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Nelson, Jeffrey Donald can be contacted via phone (510) 643-7110.

Contact Information

Primary practice address
2222 Bancroft Ext University Health Service- Clinical Services Berkeley CA 94720-4303
Phone: (510) 643-7110
Fax: (510) 643-9790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G72339 California

Profile Details

NPI number 1295720936
LBN Legal business name Nelson, Jeffrey Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 9th, 2007 - about 17 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 1295720936 NPPES
California Other G72339 CALIF. MEDICAL LISCENCE

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