JAKE THOMAS HOLLEN M.D. NPI 1457390858

NPI Information

NPI: 1457390858
Provider Name: JAKE THOMAS HOLLEN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
4311 SUFFOLK ST
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 477-9383
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Jake Thomas Hollen, M.D. is a general practice in Lake Charles, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jake Thomas Hollen, M.D. NPI is 1457390858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4311 SUFFOLK ST
LAKE CHARLES, LA
ZIP 70605-936
Phone: (337) 477-9383

The enumeration date for this NPI number is 6/4/2006 and was last updated on 8/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		013982	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	53683	MEDICARE ID-TYPE UNSPECIFIED
2	C67572	MEDICARE UPIN
3	1373150	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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