Healthcare Provider Details

I. General information

NPI: 1558265991
Provider Name (Legal Business Name): CORNELIUS EDWARD NELSON JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4905 SUDER AVE APT 103
TOLEDO OH
43611-1839
US

IV. Provider business mailing address

4905 SUDER AVE APT 103
TOLEDO OH
43611-1839
US

V. Phone/Fax

Practice location:
  • Phone: 419-277-6313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: