Jacobs, Charlotte D.

Jacobs, Charlotte D. is an individual health care provider with primary practice located at 875 Blake Wilbur Dr Cc2241, Palo Alto CA 94304-2205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jacobs, Charlotte D. can be contacted via phone (650) 725-8738.

Contact Information

Primary practice address
875 Blake Wilbur Dr Cc2241 Palo Alto CA 94304-2205
Phone: (650) 725-8738
Fax: (650) 498-4696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G27593 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G27593 California

Profile Details

NPI number 1225184245
LBN Legal business name Jacobs, Charlotte D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 10th, 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 1225184245 NPPES
California MEDICAID 00G275930

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