Jacobs, Cheryl R
Jacobs, Cheryl R is an individual health care provider with primary practice located at 15214 Aurora Ave N , Shoreline WA 98133-6143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jacobs, Cheryl R can be contacted via phone (206) 518-9021.Contact Information
Primary practice address
15214 Aurora Ave N
Shoreline WA 98133-6143
Phone: (206) 518-9021
Fax: (206) 299-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00035079 | Washington |
Profile Details
| NPI number | 1164529038 |
|---|---|
| LBN Legal business name | Jacobs, Cheryl R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 7th, 2016 - about 8 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 | 1164529038 | NPPES |
| Washington | Other | 1200JA | REGENCE |
| Washington | MEDICAID | 8244931 | REGENCE |
| Washington | Other | 214488 | REGENCE |
| Washington | Other | 5891740001 | REGENCE |
| Washington | Other | P00385271 | REGENCE |
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