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:
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Health care specialties

SpecialtyCodeLicense #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 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 1023123668 NPPES
Virginia Other 0101030062 MEDICAL LICENSE
Virginia MEDICAID 7601972 MEDICAL LICENSE
Virginia Other C06224 MEDICAL LICENSE

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