Jacobs, Jordan M.S.

Jacobs, Jordan M.S. is an individual health care provider with primary practice located at 155 White Plains Rd Suite 109, Tarrytown NY 10591-5523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobs, Jordan M.S. can be contacted via phone (914) 366-6139.

Contact Information

Primary practice address
155 White Plains Rd Suite 109 Tarrytown NY 10591-5523
Phone: (914) 366-6139
Fax: (866) 780-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 248057 New York

Profile Details

NPI number 1881852564
LBN Legal business name Jacobs, Jordan M.S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jan 15th, 2015 - about 9 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 1881852564 NPPES
New York MEDICAID 03466075

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