Jacobs, Alysha
Jacobs, Alysha is an sole proprietor health care provider with primary practice located at 2713 Grand Ave , Bellmore NY 11710-3591. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacobs, Alysha can be contacted via phone (917) 445-9566.Contact Information
Primary practice address
2713 Grand Ave
Bellmore NY 11710-3591
Phone: (917) 445-9566
Fax: (516) 307-3396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 005955 | New York |
Profile Details
| NPI number | 1225000581 |
|---|---|
| LBN Legal business name | Jacobs, Alysha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Oct 12th, 2018 - about 6 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 | 1225000581 | NPPES |
| New York | MEDICAID | 01984087 |
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