Jacobs Family Medical Clinic

LBN: Jacobs Family Medical Clinic
Jacobs Family Medical Clinic is an health care organization with primary practice located at 102 E Fourth St , Dequincy LA 70633-3502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jacobs Family Medical Clinic can be contacted via phone (337) 786-3030, or through Jacobs, Eric F via phone (337) 786-3030.

Contact Information

Primary practice address
102 E Fourth St Dequincy LA 70633-3502
Phone: (337) 786-3030
Fax: (337) 786-5066
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Eric F Doctor of Medicine (MD)
Phone: (337) 786-3030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 08646R Louisiana

Profile Details

NPI number 1740302322
LBN Legal business name Jacobs Family Medical Clinic
DBA Doing business as
Authorized official Jacobs, Eric F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Oct 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740302322 NPPES
Louisiana MEDICAID 1921718

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