Nelson, Neil R

Nelson, Neil R is an sole proprietor health care provider with primary practice located at 8 Doctors Park , Gibson City IL 60936-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nelson, Neil R can be contacted via phone (217) 784-8580.

Contact Information

Primary practice address
8 Doctors Park Gibson City IL 60936-2000
Phone: (217) 784-8580
Fax: (217) 784-8586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036085035 Illinois

Profile Details

NPI number 1386637106
LBN Legal business name Nelson, Neil R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Sep 26th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386637106 NPPES
Illinois Other IL5248 NGS
Illinois MEDICAID 363964866001 1 NGS
Illinois MEDICAID 036085035 1 NGS

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