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
Phone: (605) 355-2228
Fax: (605) 355-2514
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639641350 | NPPES |
South Dakota | Other | 5549050 | MEDICAID |
South Dakota | MEDICAID | 0140070 | MEDICAID |
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