Jacob, Abraham
Jacob, Abraham is an individual health care provider with primary practice located at 2601 W Beltline Hwy Ste 200 , Madison WI 53713-2319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jacob, Abraham can be contacted via phone (608) 287-2434.Contact Information
Primary practice address
2601 W Beltline Hwy Ste 200
Madison WI 53713-2319
Phone: (608) 287-2434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME147539 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME147539 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 72513 | Wisconsin |
Profile Details
| NPI number | 1679513626 |
|---|---|
| LBN Legal business name | Jacob, Abraham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679513626 | NPPES |
| Florida | MEDICAID | 109091200 | |
| Florida | Other | 4248433 | |
| Florida | MEDICAID | 159752802 | |
| Florida | Other | P00257564 |
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