Jacobs, Jeremy Allen

Jacobs, Jeremy Allen is an individual health care provider with primary practice located at 3702 Washington St Ste 303 , Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Jacobs, Jeremy Allen can be contacted via phone (954) 518-2424.

Contact Information

Primary practice address
3702 Washington St Ste 303 Hollywood FL 33021
Phone: (954) 518-2424
Fax: (954) 981-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS 11713 Florida

Profile Details

NPI number 1225331531
LBN Legal business name Jacobs, Jeremy Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Mar 15th, 2021 - 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 1225331531 NPPES
Florida MEDICAID 012300900

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