Individual
JAY WALTER NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-6490
(419) 897-0544
Mailing address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-6490
(419) 897-0544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-04-0332-N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419158
—
OH
Enumeration date
11/10/2006
Last updated
10/25/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us