Jakob, Kyle Austin
Jakob, Kyle Austin is an individual health care provider with primary practice located at 16777 Medical Center Dr , Baton Rouge LA 70816-3254. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jakob, Kyle Austin can be contacted via phone (225) 761-5200.Contact Information
Primary practice address
16777 Medical Center Dr
Baton Rouge LA 70816-3254
Phone: (225) 761-5200
Fax: (225) 754-3265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.206091 | Louisiana |
Profile Details
| NPI number | 1619262227 |
|---|---|
| LBN Legal business name | Jakob, Kyle Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2011 |
| Last updated | Oct 20th, 2016 - about 10 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 | 1619262227 | NPPES |
| Louisiana | MEDICAID | 2148427 | |
| Louisiana | MEDICAID | INTERN | |
| Louisiana | MEDICAID | 01954729 |
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