Hollins, Jack Lynn

Hollins, Jack Lynn is an individual health care provider with primary practice located at 120 N Eagle Creek Dr Ste 500 , Lexington KY 40509. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Hollins, Jack Lynn can be contacted via phone (859) 263-3900.

Contact Information

Primary practice address
120 N Eagle Creek Dr Ste 500 Lexington KY 40509
Phone: (859) 263-3900
Fax: (859) 263-3757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 17380 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17380 Kentucky
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 17380 Kentucky

Profile Details

NPI number 1679570675
LBN Legal business name Hollins, Jack Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Aug 26th, 2019 - about 5 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 1679570675 NPPES
West Virginia MEDICAID 1679570675
West Virginia Other 000000048591
West Virginia MEDICAID 0685503
West Virginia MEDICAID 64173800
West Virginia Other 611246763
West Virginia MEDICAID 300027596

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