Jacob, Mary Ann
Jacob, Mary Ann is an sole proprietor health care provider with primary practice located at 2841 Debarr Rd Suite 45, Anchorage AK 99508-2932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacob, Mary Ann can be contacted via phone (907) 274-0274.Contact Information
Primary practice address
2841 Debarr Rd Suite 45
Anchorage AK 99508-2932
Phone: (907) 274-0274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3150 | Alaska |
Profile Details
| NPI number | 1194741041 |
|---|---|
| LBN Legal business name | Jacob, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1194741041 | NPPES |
| Alaska | MEDICAID | MD04901 |
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