Goergen, Jacob William

Goergen, Jacob William is an individual health care provider with primary practice located at 550 Peachtree St Ne Office 3304 Davis-Fischer Building, Atlanta GA 30308-2208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Goergen, Jacob William can be contacted via phone (404) 686-7858.

Contact Information

Primary practice address
550 Peachtree St Ne Office 3304 Davis-Fischer Building Atlanta GA 30308-2208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN226582 Georgia

Profile Details

NPI number 1699019604
LBN Legal business name Goergen, Jacob William
Credentials RN, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 13 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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