Depolo, Jacob Thomas
Depolo, Jacob Thomas is an individual health care provider with primary practice located at 2001 Laurel Ave # N304 , Knoxville TN 37916-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Depolo, Jacob Thomas can be contacted via phone (865) 766-6870.Contact Information
Primary practice address
2001 Laurel Ave # N304
Knoxville TN 37916-1810
Phone: (865) 766-6870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 64086 | Tennessee |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1972000800 |
---|---|
LBN Legal business name | Depolo, Jacob Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 8th, 2018 |
Last updated | Jul 1st, 2024 - about 5 months 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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