Austin, Jack H
Austin, Jack H is an individual health care provider with primary practice located at 811 13Th Street Suite 10, Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Austin, Jack H can be contacted via phone (706) 434-1590.Contact Information
Primary practice address
811 13Th Street Suite 10
Augusta GA 30901
Phone: (706) 434-1590
Fax: (706) 434-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 032689 | Georgia |
Profile Details
| NPI number | 1972612190 |
|---|---|
| LBN Legal business name | Austin, Jack H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1972612190 | NPPES |
| Georgia | MEDICAID | 000421187K | |
| Georgia | MEDICAID | G32689 |
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