Kitchener, Jacob Manoj

Kitchener, Jacob Manoj is an individual health care provider with primary practice located at 421 N 9Th St , Springfield IL 62702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kitchener, Jacob Manoj can be contacted via phone (217) 757-6868.

Contact Information

Primary practice address
421 N 9Th St Springfield IL 62702
Fax: (177) 576-8672
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2009027338 Missouri
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 35-08-6697-K Ohio
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 35.086697 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036111221 Illinois

Profile Details

NPI number 1003818733
LBN Legal business name Kitchener, Jacob Manoj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 13th, 2023 - about 2 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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