Jacobs, Charles N

Jacobs, Charles N is an individual health care provider with primary practice located at 149 North St , Waterville ME 04901-4974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jacobs, Charles N can be contacted via phone (207) 872-1293.

Contact Information

Primary practice address
149 North St Waterville ME 04901-4974
Phone: (207) 872-1293
Fax: (207) 872-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 013355 Maine

Profile Details

NPI number 1710953476
LBN Legal business name Jacobs, Charles N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 16th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710953476 NPPES
Maine MEDICAID 243660099

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