Jacobs, Alexis

Jacobs, Alexis is an sole proprietor health care provider with primary practice located at 100 Mondamin Rd , Columbia SC 29210-8216. She recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Non-emergency Medical Transport (VAN), Ambulatory Health Care Facilities / Health Service. Transportation Services / Non-emergency Medical Transport (VAN) is her primary health care specialty. Jacobs, Alexis can be contacted via phone (803) 479-7696.

Contact Information

Primary practice address
100 Mondamin Rd Columbia SC 29210-8216
Phone: (803) 479-7696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X South Carolina
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1003417585
LBN Legal business name Jacobs, Alexis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2020
Last updated Nov 3rd, 2020 - about 4 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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