Jansen, Robert David

Jansen, Robert David is an individual health care provider with primary practice located at 55 Whitcher St Ne Ste 460, Marietta GA 30060-1171. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Jansen, Robert David can be contacted via phone (770) 427-7389.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 460 Marietta GA 30060-1171
Phone: (770) 427-7389
Fax: (770) 427-2845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X GA027578 Georgia

Profile Details

NPI number 1003811332
LBN Legal business name Jansen, Robert David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Dec 10th, 2012 - about 12 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 1003811332 NPPES
Georgia MEDICAID 000332857U
Georgia MEDICAID 000332857D
Georgia MEDICAID 00332857A
Georgia MEDICAID 000332857AC
Georgia MEDICAID 000332857P
Georgia MEDICAID 000332857Q
Georgia MEDICAID 000332857V
Georgia MEDICAID 000332857E
Georgia MEDICAID 000332857H

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