Nelson, John D
Nelson, John D is an sole proprietor health care provider with primary practice located at 821 Ne Highway 99W Ste A , Mcminnville OR 97128-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, John D can be contacted via phone (503) 472-4649.Contact Information
Primary practice address
821 Ne Highway 99W Ste A
Mcminnville OR 97128-2733
Phone: (503) 472-4649
Fax: (503) 434-1679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD15082 | Oregon |
Profile Details
| NPI number | 1194718221 |
|---|---|
| LBN Legal business name | Nelson, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jun 5th, 2014 - about 11 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 | 1194718221 | NPPES |
| Oregon | MEDICAID | 150722 |
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