# JAY WALTER NIELSEN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spine and Joint Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972784825
- **Authorized official:** JAY W NIELSEN MD (OWNER)
- **Authorized official phone:** (419) 897-6490

## Contact information

- **Practice address:** 1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
- **Practice address phone:** (419) 897-6490
- **Practice address fax:** (419) 897-0544
- **Mailing address:** 1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
- **Mailing address phone:** (419) 897-6490
- **Mailing address fax:** (419) 897-0544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 35-04-0332-N | OH | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 06/02/2010