Jacob, James Allen

Jacob, James Allen is an individual health care provider with primary practice located at 8051 South Emerson Ave Suite 200, Indianapolis IN 46237-8632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacob, James Allen can be contacted via phone (317) 865-2955.

Contact Information

Primary practice address
8051 South Emerson Ave Suite 200 Indianapolis IN 46237-8632
Phone: (317) 865-2955
Fax: (317) 865-2954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01041680A Indiana

Profile Details

NPI number 1760489884
LBN Legal business name Jacob, James Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 4th, 2020 - about 4 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 1760489884 NPPES
Indiana MEDICAID 100365950

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