Jacobs, Bernice C

Jacobs, Bernice C is an individual health care provider with primary practice located at 6125 S Broadway , Lorain OH 44053-3820. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Jacobs, Bernice C can be contacted via phone (440) 233-8181.

Contact Information

Primary practice address
6125 S Broadway Lorain OH 44053-3820
Phone: (440) 233-8181
Fax: (440) 233-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA01928 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN185635 Ohio

Profile Details

NPI number 1437142916
LBN Legal business name Jacobs, Bernice C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437142916 NPPES
Ohio MEDICAID 2029996

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