Debelak, Jacob Patrick

Debelak, Jacob Patrick is an individual health care provider with primary practice located at 10030 Gilead Rd , Huntersville NC 28078-7545. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Debelak, Jacob Patrick can be contacted via phone (704) 384-5416.

Contact Information

Primary practice address
10030 Gilead Rd Huntersville NC 28078-7545
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102-202409 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2011-01939 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2011-01939 North Carolina

Profile Details

NPI number 1396915104
LBN Legal business name Debelak, Jacob Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2008
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396915104 NPPES
North Carolina MEDICAID 5919349
North Carolina MEDICAID NC1513

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