Nielsen, Jeffrey Vincent

Nielsen, Jeffrey Vincent is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nielsen, Jeffrey Vincent can be contacted via phone (319) 362-5118.

Contact Information

Primary practice address
202 10Th Street Se Cedar Rapids IA 52403-2404
Fax: (319) 364-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25387 Iowa

Profile Details

NPI number 1386642593
LBN Legal business name Nielsen, Jeffrey Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 10th, 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 1386642593 NPPES
Indiana Other 56507 BLUE CROSS/BLUE SHIELD
Indiana MEDICAID 1036434 BLUE CROSS/BLUE SHIELD

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