Jacob, Glen C

Jacob, Glen C is an individual health care provider with primary practice located at 1175 East Mountain Blvd. , Wilkes-Barre PA 18702-3885. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Jacob, Glen C can be contacted via phone (570) 808-1093.

Contact Information

Primary practice address
1175 East Mountain Blvd. Wilkes-Barre PA 18702-3885
Phone: (570) 808-1093
Fax: (570) 808-7878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N0127 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X MD452555 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 25MA08617700 New Jersey
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 24108 West Virginia
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X MD452555V Pennsylvania

Profile Details

NPI number 1295990976
LBN Legal business name Jacob, Glen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Aug 11th, 2020 - 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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