Jagger, James Allen

Jagger, James Allen is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jagger, James Allen can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017
Fax: (859) 817-7848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 01032896A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 36747 Kentucky

Profile Details

NPI number 1609848134
LBN Legal business name Jagger, James Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 15th, 2018 - about 6 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 1609848134 NPPES
Indiana MEDICAID 201278990

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