Acol, Jose C

Acol, Jose C is an individual health care provider with primary practice located at 504 E Ridgeville Blvd Ste 120 , Mount Airy MD 21771-5942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Acol, Jose C can be contacted via phone (240) 215-6370.

Contact Information

Primary practice address
504 E Ridgeville Blvd Ste 120 Mount Airy MD 21771-5942
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD419294 Pennsylvania

Profile Details

NPI number 1801890306
LBN Legal business name Acol, Jose C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801890306 NPPES
Pennsylvania MEDICAID 0019110530001
Pennsylvania Other MD419294

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