Jacob, Annamma J

Jacob, Annamma J is an sole proprietor health care provider with primary practice located at 1635 N George Mason Dr Ste 240, Arlington VA 22205-3681. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy is her primary health care specialty. Jacob, Annamma J can be contacted via phone (703) 528-1329.

Contact Information

Primary practice address
1635 N George Mason Dr Ste 240 Arlington VA 22205-3681
Phone: (703) 528-1329
Fax: (703) 522-4915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 0101034078 Virginia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101034078 Virginia

Profile Details

NPI number 1386668903
LBN Legal business name Jacob, Annamma J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Apr 26th, 2017 - about 7 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 1386668903 NPPES
Other 081723 ANTHEM
MEDICAID 60-4923-1 ANTHEM
Other 54-1272326 ANTHEM
Other 29164 ANTHEM
Other 8803 ANTHEM

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