Jacobs, Jeffrey Robert

Jacobs, Jeffrey Robert is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Jacobs, Jeffrey Robert can be contacted via phone (803) 776-4000.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27866 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 27866 South Carolina

Profile Details

NPI number 1154454098
LBN Legal business name Jacobs, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated May 6th, 2019 - about 6 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 1154454098 NPPES
Idaho MEDICAID 1154454098
Idaho MEDICAID 110807

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