Jacobs, Jay H
Jacobs, Jay H is an individual health care provider with primary practice located at 6750 E Baywood Ave 301, Mesa AZ 85206-1749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacobs, Jay H can be contacted via phone (480) 835-6100.Contact Information
Primary practice address
6750 E Baywood Ave 301
Mesa AZ 85206-1749
Phone: (480) 835-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 13957 | Arizona |
Profile Details
| NPI number | 1811965759 |
|---|---|
| LBN Legal business name | Jacobs, Jay H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 26th, 2014 - about 10 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 | 1811965759 | NPPES |
| Arizona | Other | 060056350 | RAIL ROAD MEDICARE |
| Arizona | MEDICAID | 236225 | RAIL ROAD MEDICARE |
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