Nelson, Jennifer

Nelson, Jennifer is an individual health care provider with primary practice located at 106 Wadsworth St , Radford VA 24141-1439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Nelson, Jennifer can be contacted via phone (540) 639-9023.

Contact Information

Primary practice address
106 Wadsworth St Radford VA 24141-1439
Phone: (540) 639-9023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101256585 Virginia

Profile Details

NPI number 1942439096
LBN Legal business name Nelson, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Jan 4th, 2022 - about 4 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 1942439096 NPPES
Virginia MEDICAID 1366486664

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