Nelson, James Stewart

Nelson, James Stewart is an sole proprietor health care provider with primary practice located at 1611 Sheridan Lake Rd , Rapid City SD 57702-3423. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, James Stewart can be contacted via phone (605) 341-3670.

Contact Information

Primary practice address
1611 Sheridan Lake Rd Rapid City SD 57702-3423
Phone: (605) 341-3670
Fax: (605) 343-6646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M676 South Dakota

Profile Details

NPI number 1215024138
LBN Legal business name Nelson, James Stewart
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1215024138 NPPES
South Dakota MEDICAID 7809990

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