Jacob, Ron Mathew

Jacob, Ron Mathew is an individual health care provider with primary practice located at 30 Monument Rd # 1100 , York PA 17403-5024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacob, Ron Mathew can be contacted via phone (717) 851-2441.

Contact Information

Primary practice address
30 Monument Rd # 1100 York PA 17403-5024
Fax: (717) 851-3521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD420245 Pennsylvania

Profile Details

NPI number 1639340722
LBN Legal business name Jacob, Ron Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Apr 13th, 2022 - about 2 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 1639340722 NPPES
Pennsylvania MEDICAID 1021930250001

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