Nelson, Jeanne M

Nelson, Jeanne M is an individual health care provider with primary practice located at 4040 Coon Rapids Blvd Nw Suite #100, Coon Rapids MN 55433-2522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Nelson, Jeanne M can be contacted via phone (763) 236-9494.

Contact Information

Primary practice address
4040 Coon Rapids Blvd Nw Suite #100 Coon Rapids MN 55433-2522
Phone: (763) 236-9494
Fax: (763) 236-9495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31328 Minnesota

Profile Details

NPI number 1457411175
LBN Legal business name Nelson, Jeanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jan 26th, 2010 - about 16 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 1457411175 NPPES
Minnesota Other 194J0NE BCBS
Minnesota Other 290014444 BCBS
Minnesota Other 83654 BCBS
Minnesota MEDICAID 788700100 BCBS
Minnesota Other 450661022486 BCBS
Minnesota Other 4800215 BCBS

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