Jacobs, Brian S

Jacobs, Brian S is an individual health care provider with primary practice located at 1020 Thompson St , Jersey Shore PA 17740-1729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jacobs, Brian S can be contacted via phone (570) 398-1991.

Contact Information

Primary practice address
1020 Thompson St Jersey Shore PA 17740-1729
Phone: (570) 398-1991
Fax: (570) 398-4607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014838 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47004 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X OS014838 Pennsylvania

Profile Details

NPI number 1215915111
LBN Legal business name Jacobs, Brian S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 5th, 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 1215915111 NPPES
Minnesota MEDICAID 670998200
Minnesota MEDICAID 102381212

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