Jacob, Pothen

Jacob, Pothen is an individual health care provider with primary practice located at 1840 Mease Dr Ste 305 , Safety Harbor FL 34695-6605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacob, Pothen can be contacted via phone (727) 796-4166.

Contact Information

Primary practice address
1840 Mease Dr Ste 305 Safety Harbor FL 34695-6605
Phone: (727) 796-4166
Fax: (727) 669-5849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME55603 Florida

Profile Details

NPI number 1467423004
LBN Legal business name Jacob, Pothen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 5th, 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 1467423004 NPPES
Other 225659 AMERIGROUP
Other 2905049 AMERIGROUP
MEDICAID 055528200 AMERIGROUP
Other 08999 AMERIGROUP
Other 100013671 AMERIGROUP
Other 1035494 AMERIGROUP
Other 206516 AMERIGROUP
Other 9630253 AMERIGROUP
Other 10694801 AMERIGROUP
Other 1200283-007 AMERIGROUP
Other 4248344 AMERIGROUP
Other 01990 AMERIGROUP

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