Jacobs, Carol L
Jacobs, Carol L is an individual health care provider with primary practice located at 400 Ogletree Dr , Livingston TX 77351-6783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Jacobs, Carol L can be contacted via phone (936) 328-8812.Contact Information
Primary practice address
400 Ogletree Dr
Livingston TX 77351-6783
Phone: (936) 328-8812
Fax: (936) 328-8815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | J6500 | Texas |
Profile Details
| NPI number | 1548369309 |
|---|---|
| LBN Legal business name | Jacobs, Carol L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Mar 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548369309 | NPPES |
| Texas | MEDICAID | 169920902 | |
| Texas | Other | 8P9490 | |
| Texas | MEDICAID | 092234604 | |
| Texas | Other | 7813 |
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