Drucker, Jacob R.

Drucker, Jacob R. is an individual health care provider with primary practice located at 225 Clearfield Ave , Va Beach VA 23462-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Drucker, Jacob R. can be contacted via phone (757) 452-3480.

Contact Information

Primary practice address
225 Clearfield Ave Va Beach VA 23462-1815
Phone: (757) 452-3480
Fax: (757) 452-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101024560 Virginia

Profile Details

NPI number 1639157878
LBN Legal business name Drucker, Jacob R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Nov 27th, 2013 - about 11 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 1639157878 NPPES
Other 146541 ANTHEM BC/BS
Other 227938 ANTHEM BC/BS
MEDICAID 007501668 ANTHEM BC/BS
Other 15315 ANTHEM BC/BS

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