Pelson, Jeffrey Scott

Pelson, Jeffrey Scott is an individual health care provider with primary practice located at 1022 Nw 6Th St , Grants Pass OR 97526-1114. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pelson, Jeffrey Scott can be contacted via phone (541) 476-4545.

Contact Information

Primary practice address
1022 Nw 6Th St Grants Pass OR 97526-1114
Phone: (541) 476-4545
Fax: (541) 479-5985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2881ATI Oregon

Profile Details

NPI number 1578567244
LBN Legal business name Pelson, Jeffrey Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1578567244 NPPES
Oregon MEDICAID 298081

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