Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 19195 | NE |
N | 207K00000X | Allergist & Immunologist | 27873 | IA |
N | 207KA0200X | Allergist | 19195 | NE |
N | 2080P0201X | Pediatric Allergist | 19195 | NE |
N | 2080P0214X | Pediatric Pulmonologist | 19195 | NE |
NPI | 1952444788 |
---|---|
Provider Name | Dr. Jeffrey S Nelson |
First Address | Omaha, NE 68130-2312 |
Second Address | Omaha, NE 68130-2312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0200028 | NE UNITED HEALTHCARE (01) | NE |
06148 | NE BCBSN # (01) | NE |
0908400 | (05) | IA |
765 | MIDLANDS CHOICE # (01) | NE |
E97412 | (02) | NE |