Collen, Jacob Fredrick

Collen, Jacob Fredrick is an individual health care provider with primary practice located at 8901 Rockville Pike Pulmonary Clinic, Dept Of Medicine, Bethesda MD 20889-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Collen, Jacob Fredrick can be contacted via phone (703) 966-1598.

Contact Information

Primary practice address
8901 Rockville Pike Pulmonary Clinic, Dept Of Medicine Bethesda MD 20889-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D79963 Maryland

Profile Details

NPI number 1528164704
LBN Legal business name Collen, Jacob Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 9th, 2020 - 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 1528164704 NPPES
Maryland Other D79963 MARYLAND STATE MEDICAL LICENSE

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