Nelson, Lori

Nelson, Lori is an individual health care provider with primary practice located at 22 N 1St St , Newark OH 43055-5608. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Nelson, Lori can be contacted via phone (740) 334-4056.

Contact Information

Primary practice address
22 N 1St St Newark OH 43055-5608
Phone: (740) 334-4056
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1497405179
LBN Legal business name Nelson, Lori
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2022
Last updated Mar 25th, 2022 - about 3 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 1497405179 NPPES
Ohio MEDICAID 2615030

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