Nelson, Jill

Nelson, Jill is an individual health care provider with primary practice located at 617 N Jefferson Ave , Lebanon MO 65536-2745. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Nelson, Jill can be contacted via phone (417) 532-2986.

Contact Information

Primary practice address
617 N Jefferson Ave Lebanon MO 65536-2745
Fax: (417) 532-2271
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038008152 Illinois
Chiropractic Providers / Chiropractor 111N00000X 2022024301 Missouri

Profile Details

NPI number 1528044278
LBN Legal business name Nelson, Jill
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 2nd, 2024 - about 7 months 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 1528044278 NPPES
Illinois Other 9921349 BCBS
Illinois Other 1528044278 BCBS

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