Nelson, Joseph A

Nelson, Joseph A is an individual health care provider with primary practice located at 3531 Washington St Ste 102 , Jamaica Plain MA 02130-5241. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, Joseph A can be contacted via phone (617) 524-7860.

Contact Information

Primary practice address
3531 Washington St Ste 102 Jamaica Plain MA 02130-5241
Phone: (617) 524-7860
Fax: (617) 524-7861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051326 New York
Dental Providers / General Practice 1223G0001X 21446 Massachusetts

Profile Details

NPI number 1437147501
LBN Legal business name Nelson, Joseph A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 22nd, 2020 - about 6 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 1437147501 NPPES
New York MEDICAID 02554061

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