Jacob, Deasia Dominique
Jacob, Deasia Dominique is an individual health care provider with primary practice located at 501 W 7Th St , Frederick MD 21701-4586. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Jacob, Deasia Dominique can be contacted via phone (240) 215-6310.Contact Information
Primary practice address
501 W 7Th St
Frederick MD 21701-4586
Phone: (240) 215-6310
Fax: (240) 439-8910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | D93654 | Maryland |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | D0093827 | Maryland |
Profile Details
NPI number | 1619339728 |
---|---|
LBN Legal business name | Jacob, Deasia Dominique |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2016 |
Last updated | Jul 19th, 2023 - about last year |
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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