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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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