Koby, Jeffrey A
Koby, Jeffrey A is an individual health care provider with primary practice located at 4203 Belfort Rd Ste 345 , Jacksonville FL 32216-1469. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Koby, Jeffrey A can be contacted via phone (904) 450-6461.Contact Information
Primary practice address
4203 Belfort Rd Ste 345
Jacksonville FL 32216-1469
Phone: (904) 450-6461
Fax: (904) 450-6469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 834 | West Virginia |
Profile Details
NPI number | 1871563528 |
---|---|
LBN Legal business name | Koby, Jeffrey A |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Mar 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871563528 | NPPES |
West Virginia | Other | 550691297 | SELECT NET |
West Virginia | Other | 550691297 | SELECT NET |
West Virginia | Other | 550691297 | SELECT NET |
West Virginia | MEDICAID | 636453934A | SELECT NET |
West Virginia | Other | 001712511 | SELECT NET |
West Virginia | MEDICAID | 3810000999 | SELECT NET |
West Virginia | MEDICAID | 2930625-00 | SELECT NET |
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