Jacobs, Jennifer H

Jacobs, Jennifer H is an individual health care provider with primary practice located at 8140 Ashton Ave Ste 120, Manassas VA 20109-5698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Jacobs, Jennifer H can be contacted via phone (703) 361-3128.

Contact Information

Primary practice address
8140 Ashton Ave Ste 120 Manassas VA 20109-5698
Phone: (703) 361-3128
Fax: (703) 361-3670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101057239 Virginia

Profile Details

NPI number 1902878382
LBN Legal business name Jacobs, Jennifer H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 10th, 2011 - about 14 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 1902878382 NPPES
Virginia Other 435992 ANTHEM
Virginia Other 221572 ANTHEM
Virginia Other 435993 ANTHEM
Virginia MEDICAID 006311059 ANTHEM

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