Nelson, John Jeffrey

Nelson, John Jeffrey is an individual health care provider with primary practice located at 276 Montauk Ave , New London CT 06320-4727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nelson, John Jeffrey can be contacted via phone (860) 443-7907.

Contact Information

Primary practice address
276 Montauk Ave New London CT 06320-4727
Phone: (860) 443-7907
Fax: (860) 442-6730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 034771 Connecticut

Profile Details

NPI number 1376540005
LBN Legal business name Nelson, John Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 21st, 2014 - about 10 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 1376540005 NPPES
Connecticut MEDICAID 001347716

Popular Providers