Jacob, Hany J
Jacob, Hany J is an individual health care provider with primary practice located at 1661 Holland Rd Ste 100 , Maumee OH 43537-4206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Jacob, Hany J can be contacted via phone (419) 794-1105.Contact Information
Primary practice address
1661 Holland Rd Ste 100
Maumee OH 43537-4206
Phone: (419) 794-1105
Fax: (419) 794-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01071855A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01071855A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35-05-6351K | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 35056351 | Ohio |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35-05-6351 K | Ohio |
Profile Details
| NPI number | 1992786677 |
|---|---|
| LBN Legal business name | Jacob, Hany J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992786677 | NPPES |
| Indiana | MEDICAID | 200823690 | |
| Indiana | Other | 290009694 | |
| Indiana | MEDICAID | 692684 | |
| Indiana | Other | P01202311 |
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