Jacobs, Denisa Despina

Jacobs, Denisa Despina is an individual health care provider with primary practice located at 425 W Grand Ave Ste 2002 , Dayton OH 45405-4722. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jacobs, Denisa Despina can be contacted via phone (937) 425-4144.

Contact Information

Primary practice address
425 W Grand Ave Ste 2002 Dayton OH 45405-4722
Phone: (937) 425-4144
Fax: (937) 425-4146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X R8861923 Ohio
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X R8861923 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1801312616
LBN Legal business name Jacobs, Denisa Despina
Credentials RT (R)(CT), PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Jul 22nd, 2022 - about 3 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 1801312616 NPPES
Other 1132364 NCCPA

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