Provider Demographics
NPI:1235182676
Name:CHESNEY, NELSON H (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:H
Last Name:CHESNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MERCY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7303
Mailing Address - Country:US
Mailing Address - Phone:563-588-5520
Mailing Address - Fax:563-588-5521
Practice Address - Street 1:200 MERCY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7303
Practice Address - Country:US
Practice Address - Phone:563-588-5520
Practice Address - Fax:563-588-5521
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA19790207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAA01705Medicare UPIN