Gingerich, Jacob

Gingerich, Jacob is an sole proprietor health care provider with primary practice located at 120 Administration Rd , Oak Ridge TN 37830-8822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gingerich, Jacob can be contacted via phone (865) 483-7030.

Contact Information

Primary practice address
120 Administration Rd Oak Ridge TN 37830-8822
Phone: (865) 483-7030
Fax: (865) 483-3954
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3696 Tennessee

Profile Details

NPI number 1619394855
LBN Legal business name Gingerich, Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2014
Last updated Jul 21st, 2020 - about 4 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 1619394855 NPPES
Tennessee MEDICAID Q049564

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