Nelson, Phil Otis
Nelson, Phil Otis is an sole proprietor health care provider with primary practice located at 146 Ridge Dr , Jackson MS 39216-4109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nelson, Phil Otis can be contacted via phone (601) 982-5793.Contact Information
Primary practice address
146 Ridge Dr
Jackson MS 39216-4109
Phone: (601) 982-5793
Fax: (601) 984-3631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04082 | Mississippi |
Profile Details
| NPI number | 1063890754 |
|---|---|
| LBN Legal business name | Nelson, Phil Otis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2015 |
| Last updated | May 13th, 2015 - about 11 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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