Nelson, John Jack

Nelson, John Jack is an individual health care provider with primary practice located at 700 Oak Avenue Pkwy Ste B, Folsom CA 95630-6871. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Nelson, John Jack can be contacted via phone (916) 932-1210.

Contact Information

Primary practice address
700 Oak Avenue Pkwy Ste B Folsom CA 95630-6871
Phone: (916) 932-1210
Fax: (916) 932-1205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT23841 California

Profile Details

NPI number 1477549772
LBN Legal business name Nelson, John Jack
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 25th, 2016 - about 9 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 1477549772 NPPES
California Other ZZZ04666Z GROUP BLUE SHIELD ID

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