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Contact Information

JONATHAN D NELSON, PA-C
555 W SR 164
SALEM, UT84653
 Phone: 801-465-4813
 Fax: 801-812-5433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JONATHAN D NELSON · (Male)

NPI # 1265882070
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/13/2016
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10406360-1206
  • WI License # 3752-23
Hospital affiliation(s)
  • CASTLEVIEW HOSPITAL - (Acute Care)
    300 NORTH HOSPITAL DRIVE
    PRICE, UT 84501
  • SEVIER VALLEY MEDICAL CENTER - (Acute Care)
    1000 NORTH MAIN STREET
    RICHFIELD, UT 84701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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