| Doctor Name: | DR. JON P NIELSEN |
| NPI Number: | 1851684120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, MPH |
| License Number: | DR55006 |
| Business Practice Address: | 11600 W 2nd Pl Lakewood, CO - 802281527 |
| Business Phone Number: | 7203210000 |
| Business Fax Number: | |
| Mailing Address: | 1819 Denver West Dr, Suite 101 LAKEWOOD |
| State: | CO |
| Postal Code: | 804013118 |
| Phone Number: | 3034161360 |
| Fax Number: | 3034161058 |
| NPI Enumeration Date: | 05/19/2011 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | DR55006 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |