Jacobs, Henry Eli

Jacobs, Henry Eli is an individual health care provider with primary practice located at 1 Northwestern Dr Suite 202, Bloomfield CT 06002-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Henry Eli can be contacted via phone (860) 233-8589.

Contact Information

Primary practice address
1 Northwestern Dr Suite 202 Bloomfield CT 06002-3400
Phone: (860) 233-8589
Fax: (860) 236-9636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 017368 Connecticut

Profile Details

NPI number 1356350789
LBN Legal business name Jacobs, Henry Eli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 31st, 2020 - about 4 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 1356350789 NPPES
Connecticut MEDICAID 001173681
Connecticut Other 01017368
Connecticut Other 0029111
Connecticut Other 052270
Connecticut Other HAP255
Connecticut Other 010017368CT01
Connecticut Other 030810

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