Nelson, Jerald Jerome

Nelson, Jerald Jerome is an individual health care provider with primary practice located at 2925 20Th St S , Moorhead MN 56560-5269. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nelson, Jerald Jerome can be contacted via phone (701) 318-4292.

Contact Information

Primary practice address
2925 20Th St S Moorhead MN 56560-5269
Phone: (701) 318-4292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07373 Minnesota

Profile Details

NPI number 1629293758
LBN Legal business name Nelson, Jerald Jerome
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
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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