Jacob, Chris

Jacob, Chris is an individual health care provider with primary practice located at 24211 Little Mack Ave , Saint Clair Shores MI 48080-1151. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Jacob, Chris can be contacted via phone (586) 498-0440.

Contact Information

Primary practice address
24211 Little Mack Ave Saint Clair Shores MI 48080-1151
Phone: (586) 498-0440
Fax: (586) 498-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 293779 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101021621 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101021621 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5151009894 Michigan

Profile Details

NPI number 1790163962
LBN Legal business name Jacob, Chris
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2015
Last updated Jun 29th, 2021 - 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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