John, Jacob C

John, Jacob C is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4615. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. John, Jacob C can be contacted via phone (907) 562-2211.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4615
Phone: (907) 562-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 212001 Alaska
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 212001 Alaska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60946865 Washington

Profile Details

NPI number 1821435751
LBN Legal business name John, Jacob C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2013
Last updated Apr 2nd, 2024 - about 7 months 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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