Jacobs, Katherine Anne

Jacobs, Katherine Anne is an individual health care provider with primary practice located at 37500 Harvest Ave , Avon OH 44011-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Jacobs, Katherine Anne can be contacted via phone (216) 272-2663.

Contact Information

Primary practice address
37500 Harvest Ave Avon OH 44011-2804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20150 West Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD447449 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME60862 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD017041 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35052754 Ohio

Profile Details

NPI number 1376599712
LBN Legal business name Jacobs, Katherine Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 31st, 2018 - about 7 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 1376599712 NPPES
Ohio Other E52754 SUMMA HEALTH CARE
Ohio Other 140766 SUMMA HEALTH CARE
Ohio MEDICAID 0632088 SUMMA HEALTH CARE
Ohio MEDICAID 1027671530001 SUMMA HEALTH CARE
Ohio Other 107166 SUMMA HEALTH CARE

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