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Jacob Lawrence Klein

Debarred entity
TypePerson[sources]
NameJacob Lawrence Klein · KLEIN JACOB LAWRENCE[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
First nameJacob[sources]
ID Number00019141[sources]
Last nameKlein[sources]
Middle nameLawrence[sources]
NPI1861865552[sources]
Registration number54936[sources]
SectorPhysician Assistant[sources]
PositionPHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)[sources]
Address400 Chestnut Bluff Lane, Wirtz, VA, 24184 · P O BOX 618, AUBURN, NY 13021[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Health and Human Sciences Inspector General Exclusions80,952

People and companies excluded from Federally funded health care programs

United States of America · OIG

US California Medicaid Suspended and ineligible providers23,292

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States of America · DHCS

US New York State Medicaid Exclusions8,694

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

Source data IDs: us-medny-1d1947a92c336d085647f0ecda8378590c60de48 · us-medca-19d7d7d9832aa83e4e3db0cba5b2dd3ca7351fe1 · us-fed-excl-jacob-lawrence-klein-13021-auburn

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FactsheetData sources
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