Jacobs, Edward Harold
Jacobs, Edward Harold is an sole proprietor health care provider with primary practice located at 12 Parmenter Rd , Londonderry NH 03053-3280. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobs, Edward Harold can be contacted via phone (603) 437-2069.Contact Information
Primary practice address
12 Parmenter Rd
Londonderry NH 03053-3280
Phone: (603) 437-2069
Fax: (603) 437-5588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 330 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3115 | Massachusetts |
Profile Details
| NPI number | 1679596126 |
|---|---|
| LBN Legal business name | Jacobs, Edward Harold |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679596126 | NPPES |
| New Hampshire | MEDICAID | 99001044 |
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