Jacobs, Harvey Earl

Jacobs, Harvey Earl is an individual health care provider with primary practice located at 7400 Beaufont Springs Dr Suite 401, North Chesterfield VA 23225-5556. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jacobs, Harvey Earl can be contacted via phone (804) 323-5560.

Contact Information

Primary practice address
7400 Beaufont Springs Dr Suite 401 North Chesterfield VA 23225-5556
Fax: (804) 323-5562
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3198 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810-002607 Virginia

Profile Details

NPI number 1497722789
LBN Legal business name Jacobs, Harvey Earl
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2006
Last updated Nov 28th, 2012 - about 13 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 1497722789 NPPES
Virginia MEDICAID 010116261
Virginia MEDICAID 010139759

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