Jacob, Jean K
Jacob, Jean K is an individual health care provider with primary practice located at 2117 Boston Ave , Bridgeport CT 06610-3030. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jacob, Jean K can be contacted via phone (203) 493-4251.Contact Information
Primary practice address
2117 Boston Ave
Bridgeport CT 06610-3030
Phone: (203) 493-4251
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | PCT0009700 | Connecticut |
Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02804900 | New Jersey |
Pharmacy Service Providers / Pharmacist | 183500000X | 051292532 | Illinois |
Profile Details
NPI number | 1417280652 |
---|---|
LBN Legal business name | Jacob, Jean K |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2009 |
Last updated | Dec 26th, 2015 - about 10 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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