Jacobs, Deric L
Jacobs, Deric L is an sole proprietor health care provider with primary practice located at 4536 S. Clyde Morris Blvd. Suite 3, Port Orange FL 32129-4017. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jacobs, Deric L can be contacted via phone (386) 562-4099.Contact Information
Primary practice address
4536 S. Clyde Morris Blvd. Suite 3
Port Orange FL 32129-4017
Phone: (386) 562-4099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8698 | Florida |
Profile Details
| NPI number | 1568679876 |
|---|---|
| LBN Legal business name | Jacobs, Deric L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 14th, 2010 - about 14 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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