Individual
DR. JOHN S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1930 NORTH AVE, SPEARFISH, SD 57783-0127
(605) 642-5196
(605) 642-4409
Mailing address
PO BOX 127, SPEARFISH, SD 57783-0127
(605) 642-5196
(605) 642-4409
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SD-555
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600270
—
SD
01
—
S3089
GROUP
SD
Enumeration date
07/28/2006
Last updated
10/22/2007
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