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
Phone: (703) 966-1598
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528164704 | NPPES |
| Maryland | Other | D79963 | MARYLAND STATE MEDICAL LICENSE |
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