Nielsen, Jacquelyn Jo
Nielsen, Jacquelyn Jo is an sole proprietor health care provider with primary practice located at 1101 Oakridge Drive Suite B, Fort Collins CO 80525. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Nielsen, Jacquelyn Jo can be contacted via phone (970) 622-9997.Contact Information
Primary practice address
1101 Oakridge Drive Suite B
Fort Collins CO 80525
Phone: (970) 622-9997
Fax: (970) 667-8383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 708546 | Colorado |
Profile Details
| NPI number | 1770569667 |
|---|---|
| LBN Legal business name | Nielsen, Jacquelyn Jo |
| Credentials | MS, RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770569667 | NPPES |
| Colorado | Other | P00241054 | RAILROAD MEDICARE |
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