Nelson, Jeremiah
Nelson, Jeremiah is an individual health care provider with primary practice located at 2880 N Tenaya Way Ste 320 , Las Vegas NV 89128-0642. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Nelson, Jeremiah can be contacted via phone (702) 862-8226.Contact Information
Primary practice address
2880 N Tenaya Way Ste 320
Las Vegas NV 89128-0642
Phone: (702) 862-8226
Fax: (702) 862-8227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME 92825 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD-45607 | Iowa |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35099088 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | ME0092825 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 35099088 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 23921 | Nevada |
Profile Details
| NPI number | 1063494524 |
|---|---|
| LBN Legal business name | Nelson, Jeremiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 18th, 2023 - about last year |
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 | 1063494524 | NPPES |
| Florida | Other | 297631 | AMERIGROUP |
| Florida | Other | 2438274001 | AMERIGROUP |
| Florida | Other | 297105 | AMERIGROUP |
| Florida | Other | 489063073 | AMERIGROUP |
| Florida | Other | 7134730 | AMERIGROUP |
| Florida | Other | 16865 | AMERIGROUP |
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