Alexander, Jacob

Alexander, Jacob is an individual health care provider with primary practice located at 5588 Little Debbie Pkwy , Ooltewah TN 37363-4356. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Alexander, Jacob can be contacted via phone (423) 238-1059.

Contact Information

Primary practice address
5588 Little Debbie Pkwy Ooltewah TN 37363-4356
Phone: (423) 238-1059
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 041608 Tennessee

Profile Details

NPI number 1548760481
LBN Legal business name Alexander, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2018
Last updated Feb 16th, 2018 - about 8 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 1548760481 NPPES
Tennessee Other 041608 STATE PHARMACY LICENSE

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