Jacob, Robert B
Jacob, Robert B is an sole proprietor health care provider with primary practice located at 4617 Ruffner St Ste 200 , San Diego CA 92111-2284. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jacob, Robert B can be contacted via phone (858) 268-1006.Contact Information
Primary practice address
4617 Ruffner St Ste 200
San Diego CA 92111-2284
Phone: (858) 268-1006
Fax: (858) 268-5097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | B 25912 | California |
Profile Details
NPI number | 1215093315 |
---|---|
LBN Legal business name | Jacob, Robert B |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 31st, 2006 |
Last updated | Feb 15th, 2010 - about 14 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 | 1215093315 | NPPES |
California | MEDICAID | B25912-01 | |
California | Other | 25912 |
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