Dr. Jeffrey Donald Nelson
Family Doctor - Sports Medicine
2222 Bancroft Ext University Health Service- Clinical Services
Berkeley
, California 94720-4303
Dr. Jeffrey Donald Nelson
Family Doctor - Sports Medicine
2222 Bancroft Ext University Health Service- Clinical Services
Berkeley
, California 94720-4303
(510) 643-6999
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Donald Nelson
- Po Box 4446
- Berkeley, CA
- Zip : 94704-0446
- Fax : (510) 643-6999
- Phone : (510) 642-7955
Second Address
- Dr. Jeffrey Donald Nelson
- 2222 Bancroft Ext University Health Service- Clinical Services
- Berkeley, CA
- Zip : 94720-4303
- Fax : (510) 643-9790
- Phone : (510) 643-7110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | G72339 | CA |
National Provider Identifier
| NPI | 1295720936 |
|---|---|
| Provider Name | Dr. Jeffrey Donald Nelson |
| First Address | Berkeley, CA 94704-0446 |
| Second Address | Berkeley, CA 94720-4303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G65934 | (02) | CA |
| G72339 | CALIF. MEDICAL LISCENCE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.