Goble, Jack A.

Goble, Jack A. is an individual health care provider with primary practice located at 10755 Falls Rd Suite 160, Lutherville MD 21093-4515. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Goble, Jack A. can be contacted via phone (410) 285-2777.

Contact Information

Primary practice address
10755 Falls Rd Suite 160 Lutherville MD 21093-4515
Phone: (410) 285-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0001029 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002128L Pennsylvania

Profile Details

NPI number 1366715625
LBN Legal business name Goble, Jack A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2012
Last updated Mar 5th, 2013 - about 11 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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