Jacobs, Edward Julius

Jacobs, Edward Julius is an individual health care provider with primary practice located at 62 Hackett Blvd , Albany NY 12209-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Edward Julius can be contacted via phone (518) 465-7062.

Contact Information

Primary practice address
62 Hackett Blvd Albany NY 12209-1756
Fax: (518) 449-1378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 129504 New York

Profile Details

NPI number 1770550154
LBN Legal business name Jacobs, Edward Julius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770550154 NPPES
New York MEDICAID 00547764

Popular Providers