Jacobe, Heidi

Jacobe, Heidi is an sole proprietor health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-9069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jacobe, Heidi can be contacted via phone (214) 648-2985.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-9069
Fax: (214) 648-9292
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X K5314 Texas

Profile Details

NPI number 1225097538
LBN Legal business name Jacobe, Heidi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Feb 15th, 2011 - about 13 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 1225097538 NPPES
Texas MEDICAID 153700301

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