Schwab, Jeffrey R

Schwab, Jeffrey R is an individual health care provider with primary practice located at 590 Nancy St Nw , Marietta GA 30060-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Schwab, Jeffrey R can be contacted via phone (770) 423-0395.

Contact Information

Primary practice address
590 Nancy St Nw Marietta GA 30060-1334
Phone: (770) 423-0395
Fax: (770) 499-0352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 045119 Georgia

Profile Details

NPI number 1609833813
LBN Legal business name Schwab, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 17th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609833813 NPPES
Georgia Other 7372231 AETNA PPO ID
Georgia Other 020050127 AETNA PPO ID
Georgia Other 52841049-001 AETNA PPO ID
Georgia MEDICAID 00906188A AETNA PPO ID
Georgia Other 2583204 AETNA PPO ID

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