Jacobs, Carla Sue

Jacobs, Carla Sue is an sole proprietor health care provider with primary practice located at 528 S Otterbein Ave , Westerville OH 43081-2913. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jacobs, Carla Sue can be contacted via phone (614) 898-9195.

Contact Information

Primary practice address
528 S Otterbein Ave Westerville OH 43081-2913
Fax: (614) 898-9188
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1186 Ohio

Profile Details

NPI number 1790831873
LBN Legal business name Jacobs, Carla Sue
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 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 1790831873 NPPES
Ohio MEDICAID 0633961

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