Jacob, Nadette
Jacob, Nadette is an individual health care provider with primary practice located at 23 Ontario Street , Honeoye Falls NY 14472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jacob, Nadette can be contacted via phone (585) 624-2121.Contact Information
Primary practice address
23 Ontario Street
Honeoye Falls NY 14472
Phone: (585) 624-2121
Fax: (585) 624-7283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 141882 | New York |
Profile Details
| NPI number | 1588619225 |
|---|---|
| LBN Legal business name | Jacob, Nadette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 23rd, 2007 - about 17 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 | 1588619225 | NPPES |
| New York | MEDICAID | 00677192 | |
| New York | Other | 100895BF | |
| New York | Other | P010141882 |
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