Jacob, Sera L
Jacob, Sera L is an individual health care provider with primary practice located at 802 Green Valley Rd Suite 106, Greensboro NC 27408-7041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Jacob, Sera L can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
802 Green Valley Rd Suite 106
Greensboro NC 27408-7041
Phone: (336) 716-2255
Fax: (336) 716-9440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 9600264 | North Carolina |
Profile Details
NPI number | 1598710246 |
---|---|
LBN Legal business name | Jacob, Sera L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Nov 18th, 2011 - 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 | 1598710246 | NPPES |
North Carolina | Other | 1197J | BCBS |
North Carolina | MEDICAID | 891197J | BCBS |
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