Jacob Manoj Kitchener
Neurologist Vascular Neurology Clinical Neurophysiologist
421 N 9th St
Springfield
, Illinois 62702
Jacob Manoj Kitchener
Neurologist Vascular Neurology Clinical Neurophysiologist
421 N 9th St
Springfield
, Illinois 62702
(177) 576-8672
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
- Vascular Neurology
Languages spoken
- English
Location
First Address
- Jacob Manoj Kitchener
- 421 N 9th St
- Springfield, IL
- Zip : 62702-5317
- Fax : (177) 576-8672
- Phone : (217) 757-6868
Second Address
- Jacob Manoj Kitchener
- 421 N 9th St
- Springfield, IL
- Zip : 62702
- Fax : (177) 576-8672
- Phone : (217) 757-6868
Reviews
FAQs
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Is Jacob Manoj Kitchener a sole practitioner?
Is Jacob Manoj Kitchener accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 036111221 | IL |
| N | 2084N0400X | Neurologist | 2009027338 | MO |
| N | 2084N0600X | Clinical Neurophysiologist | 35-08-6697-K | OH |
| N | 2084V0102X | Vascular Neurology | 35.086697 | OH |
National Provider Identifier
| NPI | 1003818733 |
|---|---|
| Provider Name | Jacob Manoj Kitchener |
| First Address | Springfield, IL 62702-5317 |
| Second Address | Springfield, IL 62702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 28/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I37762 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.