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
Fax: (585) 624-7283
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588619225 NPPES
New York MEDICAID 00677192
New York Other 100895BF
New York Other P010141882

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