Nelson, John R

Nelson, John R is an individual health care provider with primary practice located at 400 Hobart St , Cadillac MI 49601-2331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nelson, John R can be contacted via phone (231) 876-7200.

Contact Information

Primary practice address
400 Hobart St Cadillac MI 49601-2331
Phone: (231) 876-7200
Fax: (231) 876-6519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301072309 Michigan

Profile Details

NPI number 1558362475
LBN Legal business name Nelson, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 24th, 2008 - about 18 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 1558362475 NPPES
Michigan Other 110H310180 BLUE CROSS BILLING NUMBER
Michigan Other 133381 BLUE CROSS BILLING NUMBER
Michigan Other 383552631103 BLUE CROSS BILLING NUMBER
Michigan Other 4410114 BLUE CROSS BILLING NUMBER
Michigan Other 27544 BLUE CROSS BILLING NUMBER
Michigan MEDICAID 4410114 BLUE CROSS BILLING NUMBER

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