Nelson, Jared William
Nelson, Jared William is an individual health care provider with primary practice located at 701 Hospital Loop 92 Medical Group, Fairchild Air Force Base WA 99011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Jared William can be contacted via phone (509) 247-5661.Contact Information
Primary practice address
701 Hospital Loop 92 Medical Group
Fairchild Air Force Base WA 99011
Phone: (509) 247-5661
Fax: (509) 247-9524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17089 | Oregon |
Profile Details
| NPI number | 1528034980 |
|---|---|
| LBN Legal business name | Nelson, Jared William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Mar 24th, 2016 - about 9 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 | 1528034980 | NPPES |
| Oregon | MEDICAID | 287973 |
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