Wollack, Jan B.

Wollack, Jan B. is an individual health care provider with primary practice located at 19 Davis Ave , Neptune NJ 07753-4488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Wollack, Jan B. can be contacted via phone (732) 776-4551.

Contact Information

Primary practice address
19 Davis Ave Neptune NJ 07753-4488
Phone: (732) 776-4551
Fax: (732) 776-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 25MA070475 New Jersey
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 17288 New Hampshire

Profile Details

NPI number 1447345608
LBN Legal business name Wollack, Jan B.
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 20th, 2019 - about 5 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 1447345608 NPPES
New Jersey MEDICAID 8155003

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