Jacob, Pothen

Jacob, Pothen is an individual health care provider with primary practice located at 4601 State St Suite #210, E St Louis IL 62205-1359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jacob, Pothen can be contacted via phone (618) 874-3700.

Contact Information

Primary practice address
4601 State St Suite #210 E St Louis IL 62205-1359
Phone: (618) 874-3700
Fax: (618) 874-5031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3648725 Illinois

Profile Details

NPI number 1376640474
LBN Legal business name Jacob, Pothen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 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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