Zacks, Jason Alan

Zacks, Jason Alan is an individual health care provider with primary practice located at 1920 Fairview Ave , Dothan AL 36301-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zacks, Jason Alan can be contacted via phone (334) 678-1400.

Contact Information

Primary practice address
1920 Fairview Ave Dothan AL 36301-3008
Phone: (334) 678-1400
Fax: (334) 678-1432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24494 Alabama

Profile Details

NPI number 1093710626
LBN Legal business name Zacks, Jason Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 16th, 2007 - about 19 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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