Hollen, Jake Thomas
Hollen, Jake Thomas is an sole proprietor health care provider with primary practice located at 4311 Suffolk St , Lake Charles LA 70605-3936. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hollen, Jake Thomas can be contacted via phone (337) 477-9383.Contact Information
Primary practice address
4311 Suffolk St
Lake Charles LA 70605-3936
Phone: (337) 477-9383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 013982 | Louisiana |
Profile Details
| NPI number | 1457390858 |
|---|---|
| LBN Legal business name | Hollen, Jake Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Aug 18th, 2010 - about 14 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 | 1457390858 | NPPES |
| Louisiana | MEDICAID | 1373150 |
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