Sillaman, Jacob D

Sillaman, Jacob D is an sole proprietor health care provider with primary practice located at 1380 E Stroop Rd , Kettering OH 45429-4926. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sillaman, Jacob D can be contacted via phone (937) 294-4356.

Contact Information

Primary practice address
1380 E Stroop Rd Kettering OH 45429-4926
Phone: (937) 294-4356
Fax: (937) 297-2381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50004125 Ohio

Profile Details

NPI number 1902208309
LBN Legal business name Sillaman, Jacob D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2014
Last updated Nov 23rd, 2020 - about 4 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 1902208309 NPPES
Ohio MEDICAID 0110639

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