Jacob, Pothen
Jacob, Pothen is an individual health care provider with primary practice located at 1840 Mease Dr Ste 305 , Safety Harbor FL 34695-6605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacob, Pothen can be contacted via phone (727) 796-4166.Contact Information
Primary practice address
1840 Mease Dr Ste 305
Safety Harbor FL 34695-6605
Phone: (727) 796-4166
Fax: (727) 669-5849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME55603 | Florida |
Profile Details
| NPI number | 1467423004 |
|---|---|
| LBN Legal business name | Jacob, Pothen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Oct 5th, 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 | 1467423004 | NPPES |
| Other | 225659 | AMERIGROUP | |
| Other | 2905049 | AMERIGROUP | |
| MEDICAID | 055528200 | AMERIGROUP | |
| Other | 08999 | AMERIGROUP | |
| Other | 100013671 | AMERIGROUP | |
| Other | 1035494 | AMERIGROUP | |
| Other | 206516 | AMERIGROUP | |
| Other | 9630253 | AMERIGROUP | |
| Other | 10694801 | AMERIGROUP | |
| Other | 1200283-007 | AMERIGROUP | |
| Other | 4248344 | AMERIGROUP | |
| Other | 01990 | AMERIGROUP |
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