Jacobs, Cindy C

Jacobs, Cindy C is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Jacobs, Cindy C can be contacted via phone (605) 355-2228.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Fax: (605) 355-2514
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 04005569 South Dakota

Profile Details

NPI number 1639641350
LBN Legal business name Jacobs, Cindy C
Credentials MEDICAL TECHNOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Dec 19th, 2018 - about 6 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 1639641350 NPPES
South Dakota Other 5549050 MEDICAID
South Dakota MEDICAID 0140070 MEDICAID

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