Jacobs, Gary M
Jacobs, Gary M is an individual health care provider with primary practice located at 681 Third Ave , Chula Vista CA 91910-5703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacobs, Gary M can be contacted via phone (619) 420-2111.Contact Information
Primary practice address
681 Third Ave
Chula Vista CA 91910-5703
Phone: (619) 420-2111
Fax: (619) 585-8130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G41820 | California |
Profile Details
| NPI number | 1992772552 |
|---|---|
| LBN Legal business name | Jacobs, Gary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Nov 2nd, 2010 - about 15 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 | 1992772552 | NPPES |
| California | MEDICAID | GR0067510 |
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