Jacob, Jack

Jacob, Jack is an sole proprietor health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Jacob, Jack can be contacted via phone (862) 812-7831.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4201
Phone: (862) 812-7831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 68885 Connecticut

Profile Details

NPI number 1649659590
LBN Legal business name Jacob, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2015
Last updated Sep 22nd, 2021 - 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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