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IndividualActive

Mr. Jack Gary Golla

QBA

Community/Behavioral Health

NPI: 1780985721Carson City, Nevada, 89704(775) 849-3165Male

About Mr. Jack Gary Golla

Mr. Jack Gary Golla, QBA, is a male healthcare professional specializing in Community/Behavioral Health, registered under National Provider Identifier (NPI) number 1780985721. Their primary practice is located at 670 WASHOE DR, Carson City, Nevada 89704.

Patients can reach the office at (775) 849-3165. Mr. Jack Gary Golla has been NPI-registered since 2010.

Doctor Details

Identity & Credentials

NPI Number
1780985721
Entity Type
Individual
First Name
Jack
Last Name
Golla
Credential
QBA
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
670 WASHOE DR
City
Carson City
State
Nevada
ZIP
89704-9528
Country
United States
Phone
(775) 849-3165
Fax
(775) 849-9425

Specialty & Taxonomy

Primary Specialty
Community/Behavioral Health
Classification
Community/Behavioral Health
Taxonomy Code
251S00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
670 WASHOE DR
City
CARSON CITY
State
NV
ZIP
897049528

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Jack Gary Golla's NPI number?
Mr. Jack Gary Golla's National Provider Identifier (NPI) is 1780985721. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Jack Gary Golla specialize in?
Mr. Jack Gary Golla specializes in Community/Behavioral Health.
Where is Mr. Jack Gary Golla located?
Mr. Jack Gary Golla practices at 670 WASHOE DR, Carson City, Nevada 89704. You can reach them by phone at (775) 849-3165.
Does Mr. Jack Gary Golla accept Medicare?
Based on available data, Mr. Jack Gary Golla is not currently enrolled in the Medicare program.
Does Mr. Jack Gary Golla offer telehealth or virtual visits?
Mr. Jack Gary Golla does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Jack Gary Golla is 1780985721.