Nysather, Jacob A

Nysather, Jacob A is an sole proprietor health care provider with primary practice located at 9275 Montgomery Rd , Montgomery OH 45242-7779. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Nysather, Jacob A can be contacted via phone (513) 475-8525.

Contact Information

Primary practice address
9275 Montgomery Rd Montgomery OH 45242-7779
Phone: (513) 475-8525
Fax: (513) 936-4511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0116030769 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34.015521 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34.015521 Ohio

Profile Details

NPI number 1407376312
LBN Legal business name Nysather, Jacob A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2017
Last updated Mar 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407376312 NPPES
Ohio MEDICAID 0462231

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