person
Jacob D Sillaman, PA
Medical Physician Assistant in Kettering, Ohio
NPI 1902208309

Jacob D Sillaman is a Medical Physician Assistant based in Kettering, OH and is specialized in Medical. Jacob D Sillaman practices in Kettering, OH and has the professional credentials of PA. The NPI Number for Jacob D Sillaman is 1902208309 and holds a License No. 50004125 (Ohio).

The current practice location address for Jacob D Sillaman is 1380 E Stroop Rd, Kettering, OH and can be reached out via phone at 937-294-4356 and via fax at 937-297-2381.

Location: 1380 E Stroop Rd, Kettering, OH, 45429-4926
person
Provider Profile Details
NPI Number
1902208309
Provider Name
Jacob D Sillaman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1380 E Stroop Rd, Kettering, OH, 45429-4926
Phone Number
937-294-4356
Fax Number
937-297-2381
Provider Enumeration Date
09/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110639 05 OH
institution
Provider Business Practice Location Address Details
Address
1380 E Stroop Rd
City
State
Zip
45429-4926
Phone Number
937-294-4356
Fax Number
937-297-2381
person
Provider Business Mailing Address Details
Address
1380 E Stroop Rd
City
State
Zip
45429-4926
Phone Number
937-294-4356
Fax Number
937-297-2381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50004125 (Ohio)
Definition
Definition to come...
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