Jacobs, Darick L
Jacobs, Darick L is an individual health care provider with primary practice located at 395 W 12Th Ave Rm 460 , Columbus OH 43210-1267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jacobs, Darick L can be contacted via phone (614) 293-8315.Contact Information
Primary practice address
395 W 12Th Ave Rm 460
Columbus OH 43210-1267
Phone: (614) 293-8315
Fax: (614) 293-6935
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35086103 | Ohio |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 35.086103 | Ohio |
Profile Details
NPI number | 1386624047 |
---|---|
LBN Legal business name | Jacobs, Darick L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Jun 24th, 2024 - about 5 months 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 | 1386624047 | NPPES |
Ohio | MEDICAID | 2565693 | |
Ohio | Other | P00248945 |
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