Jacob, Kimberly
Jacob, Kimberly is an individual health care provider with primary practice located at 1275 South Main Street Suite103, Greensburg PA 15601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacob, Kimberly can be contacted via phone (412) 561-7246.Contact Information
Primary practice address
1275 South Main Street Suite103
Greensburg PA 15601
Phone: (412) 561-7246
Fax: (412) 235-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | VP004352B | Pennsylvania |
Profile Details
| NPI number | 1356458889 |
|---|---|
| LBN Legal business name | Jacob, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 29th, 2015 - about 11 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 | 1356458889 | NPPES |
| Pennsylvania | Other | VP004352B | LICENSE |
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