Nelson, Jerry W

Nelson, Jerry W is an individual health care provider with primary practice located at 2111 E Dakota Ave , Fresno CA 93726-4805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Nelson, Jerry W can be contacted via phone (559) 459-1845.

Contact Information

Primary practice address
2111 E Dakota Ave Fresno CA 93726-4805
Phone: (559) 459-1845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X A21897 California
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A21897 California

Profile Details

NPI number 1033234307
LBN Legal business name Nelson, Jerry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033234307 NPPES
California MEDICAID 00A218970

Popular Providers