Iluba, Jane

Iluba, Jane is an individual health care provider with primary practice located at 658 N Chase St # 102 , Athens GA 30601-1960. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Iluba, Jane can be contacted via phone (772) 313-3768.

Contact Information

Primary practice address
658 N Chase St # 102 Athens GA 30601-1960
Phone: (772) 313-3768
Fax: (850) 522-8354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 33945 South Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01073699A Indiana
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 93791 Georgia

Profile Details

NPI number 1447575931
LBN Legal business name Iluba, Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Nov 28th, 2022 - about 2 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 1447575931 NPPES
Georgia Other 93791 GA MEDICAL LICENSE

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