Jacobs, Kenneth Lee Dine
Jacobs, Kenneth Lee Dine is an sole proprietor health care provider with primary practice located at 2615 E High St , Springfield OH 45505-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jacobs, Kenneth Lee Dine can be contacted via phone (937) 325-0531.Contact Information
Primary practice address
2615 E High St
Springfield OH 45505-1412
Phone: (937) 325-0531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34.005854 | Ohio |
Profile Details
| NPI number | 1285698670 |
|---|---|
| LBN Legal business name | Jacobs, Kenneth Lee Dine |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 27th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285698670 | NPPES |
| Ohio | MEDICAID | 0986116 | |
| Ohio | Other | 000000017441 |
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