Jacob, Rudolph Daniel
Jacob, Rudolph Daniel is an individual health care provider with primary practice located at 4228 Houma Blvd Suite 340, Metairie LA 70006-3000. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacob, Rudolph Daniel can be contacted via phone (504) 454-3611.Contact Information
Primary practice address
4228 Houma Blvd Suite 340
Metairie LA 70006-3000
Phone: (504) 454-3611
Fax: (504) 888-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 012606 | Louisiana |
Profile Details
| NPI number | 1760452270 |
|---|---|
| LBN Legal business name | Jacob, Rudolph Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 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 | 1760452270 | NPPES |
| Louisiana | MEDICAID | 1347159 |
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