Jacobs, Bruce E

Jacobs, Bruce E is an individual health care provider with primary practice located at 420 W Morris Blvd Ste. 400B, Morristown TN 37813-2283. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jacobs, Bruce E can be contacted via phone (423) 586-2410.

Contact Information

Primary practice address
420 W Morris Blvd Ste. 400B Morristown TN 37813-2283
Phone: (423) 586-2410
Fax: (423) 581-9692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12994 Tennessee

Profile Details

NPI number 1356523310
LBN Legal business name Jacobs, Bruce E
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Jun 24th, 2008 - about 16 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 1356523310 NPPES
Tennessee Other 12994 LICENSE
Tennessee MEDICAID 3341623 LICENSE

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