Interial, Nolan Jacob

Interial, Nolan Jacob is an individual health care provider with primary practice located at 612 Roxbury Rd , Rockford IL 61107-5089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Interial, Nolan Jacob can be contacted via phone (815) 227-8300.

Contact Information

Primary practice address
612 Roxbury Rd Rockford IL 61107-5089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 81106-21 Wisconsin

Profile Details

NPI number 1093343964
LBN Legal business name Interial, Nolan Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Aug 17th, 2026 - about 3 months 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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