Jacobs, Bradford Joel

Jacobs, Bradford Joel is an individual health care provider with primary practice located at 3319 W Chester Pike , Newtown Square PA 19073-4226. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Jacobs, Bradford Joel can be contacted via phone (610) 431-2971.

Contact Information

Primary practice address
3319 W Chester Pike Newtown Square PA 19073-4226
Phone: (610) 431-2971
Fax: (610) 356-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002599L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC002599L Pennsylvania

Profile Details

NPI number 1356397194
LBN Legal business name Jacobs, Bradford Joel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 17th, 2020 - about 5 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 1356397194 NPPES
Pennsylvania MEDICAID 0909856

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