Jacob, Elizabeth Mary

Jacob, Elizabeth Mary is an individual health care provider with primary practice located at 595 Copeland Mill Rd , Westerville OH 43081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacob, Elizabeth Mary can be contacted via phone (614) 899-0000.

Contact Information

Primary practice address
595 Copeland Mill Rd Westerville OH 43081
Fax: (614) 899-0524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35069474 Ohio

Profile Details

NPI number 1760518252
LBN Legal business name Jacob, Elizabeth Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760518252 NPPES
Ohio MEDICAID 0323279

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