Neilson, Ian R
Neilson, Ian R is an individual health care provider with primary practice located at 887 Congress St Suite 300, Portland ME 04102-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Neilson, Ian R can be contacted via phone (207) 662-5555.Contact Information
Primary practice address
887 Congress St Suite 300
Portland ME 04102-3100
Phone: (207) 662-5555
Fax: (207) 662-5526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 5423 | Alaska |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD18028 | Maine |
Profile Details
| NPI number | 1447330410 |
|---|---|
| LBN Legal business name | Neilson, Ian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Nov 26th, 2014 - about 12 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 | 1447330410 | NPPES |
| New Hampshire | MEDICAID | 30208266 | |
| New Hampshire | MEDICAID | 433399099 | |
| New Hampshire | MEDICAID | MD98332 |
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