Jacobs, Elizabeth S

Jacobs, Elizabeth S is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Jacobs, Elizabeth S can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD12366 Rhode Island

Profile Details

NPI number 1871516963
LBN Legal business name Jacobs, Elizabeth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871516963 NPPES
Rhode Island Other 09/13/2007 NHPRI
Rhode Island MEDICAID 1871516 NHPRI
Rhode Island Other 1871516963 NHPRI
Rhode Island Other 04/15/2009 NHPRI
Rhode Island Other 12/29/2008 NHPRI
Rhode Island MEDICAID 2135001 NHPRI
Rhode Island Other 07/24/2007 NHPRI
Rhode Island Other 007059436 NHPRI
Rhode Island Other 939025129 NHPRI

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