Saltz, Jack T

Saltz, Jack T is an individual health care provider with primary practice located at 4039 Atlanta St , Powder Springs GA 30127-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Saltz, Jack T can be contacted via phone (770) 943-3139.

Contact Information

Primary practice address
4039 Atlanta St Powder Springs GA 30127-2666
Phone: (770) 943-3139
Fax: (770) 439-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 031115 Georgia

Profile Details

NPI number 1336212513
LBN Legal business name Saltz, Jack T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336212513 NPPES
Georgia MEDICAID 00371973A

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