Jacobs, Kent F
Jacobs, Kent F is an sole proprietor health care provider with primary practice located at 3610 Southwind Rd , Las Cruces NM 88007-5556. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacobs, Kent F can be contacted via phone (575) 523-9095.Contact Information
Primary practice address
3610 Southwind Rd
Las Cruces NM 88007-5556
Phone: (575) 523-9095
Fax: (575) 523-0107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 68-116 | New Mexico |
Profile Details
| NPI number | 1508090721 |
|---|---|
| LBN Legal business name | Jacobs, Kent F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2009 |
| Last updated | May 4th, 2009 - about 16 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 | 1508090721 | NPPES |
| New Mexico | MEDICAID | 13896 |
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