Jacob, Eacharangad Ipye

Jacob, Eacharangad Ipye is an sole proprietor health care provider with primary practice located at 629 E Highway 98 , Panama City FL 32401-3611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Jacob, Eacharangad Ipye can be contacted via phone (850) 914-9119.

Contact Information

Primary practice address
629 E Highway 98 Panama City FL 32401-3611
Phone: (850) 914-9119
Fax: (850) 913-1670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X ME0054778 Florida
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X ME0054778 Florida

Profile Details

NPI number 1750310215
LBN Legal business name Jacob, Eacharangad Ipye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jul 30th, 2012 - about 12 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 1750310215 NPPES
Florida MEDICAID 035463500

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