National Provider Identifier Database

FAMILY PRACTICE OF JACKSONVILLE PC
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

FAMILY PRACTICE OF JACKSONVILLE PC
1881 HWY 21 SOUTH
JACKSONVILLE, AL36265
Phone: 256-435-3035
Fax: 256-435-9111
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE OF JACKSONVILLE PC

NPI Number 1568571602
Legal business name
LBN
FAMILY PRACTICE OF JACKSONVILLE PC
Authorized official KEWAL VERMA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 04/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 7306
  • Other: 01D0689490 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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