Allen, Jacob
Allen, Jacob is an individual health care provider with primary practice located at 275 Collier Rd Nw Suite 500, Atlanta GA 30309-1709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Allen, Jacob can be contacted via phone (404) 605-2800.Contact Information
Primary practice address
275 Collier Rd Nw Suite 500
Atlanta GA 30309-1709
Phone: (404) 605-2800
Fax: (404) 351-5983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN195213 | Georgia |
Profile Details
| NPI number | 1659753200 |
|---|---|
| LBN Legal business name | Allen, Jacob |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2015 |
| Last updated | Sep 22nd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659753200 | NPPES |
| Georgia | MEDICAID | 003164255A |
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