Aelion, Jacob

Aelion, Jacob is an individual health care provider with primary practice located at 371 N Parkway Suite 400, Jackson TN 38305-2891. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Aelion, Jacob can be contacted via phone (731) 664-0002.

Contact Information

Primary practice address
371 N Parkway Suite 400 Jackson TN 38305-2891
Fax: (731) 664-7958
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000020050 Tennessee

Profile Details

NPI number 1679551501
LBN Legal business name Aelion, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 18th, 2011 - about 13 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 1679551501 NPPES
Tennessee MEDICAID 3376982

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