Jacobs, Jonathan S
Jacobs, Jonathan S is an individual health care provider with primary practice located at 1037 First Colonial Rd , Virginia Beach VA 23454-3037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobs, Jonathan S can be contacted via phone (757) 491-3535.Contact Information
Primary practice address
1037 First Colonial Rd
Virginia Beach VA 23454-3037
Phone: (757) 491-3535
Fax: (757) 422-4750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0101030062 | Virginia |
Profile Details
NPI number | 1023123668 |
---|---|
LBN Legal business name | Jacobs, Jonathan S |
Credentials | D.M.D.,M.D.,F.A.C.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Aug 27th, 2010 - about 15 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 | 1023123668 | NPPES |
Virginia | Other | 0101030062 | MEDICAL LICENSE |
Virginia | MEDICAID | 7601972 | MEDICAL LICENSE |
Virginia | Other | C06224 | MEDICAL LICENSE |
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