Nelson, John W
Nelson, John W is an sole proprietor health care provider with primary practice located at 5252 N Meridian Ave , Oklahoma City OK 73112-2178. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Nelson, John W can be contacted via phone (405) 702-8623.Contact Information
Primary practice address
5252 N Meridian Ave
Oklahoma City OK 73112-2178
Phone: (405) 702-8623
Fax: (405) 702-8628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 24875 | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24875 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | E6543 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 24875 | Oklahoma |
Profile Details
| NPI number | 1174551923 |
|---|---|
| LBN Legal business name | Nelson, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 10th, 2022 - about 3 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 | 1174551923 | NPPES |
| Oklahoma | MEDICAID | 200087810A |
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