Jacobs, Lawrence J

Jacobs, Lawrence J is an individual health care provider with primary practice located at 9500 Euclid Ave Wl20, Cleveland OH 44195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Jacobs, Lawrence J can be contacted via phone (440) 899-5555.

Contact Information

Primary practice address
9500 Euclid Ave Wl20 Cleveland OH 44195-0001
Phone: (440) 899-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35060098J Ohio

Profile Details

NPI number 1104810639
LBN Legal business name Jacobs, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 25th, 2011 - about 13 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 1104810639 NPPES
Ohio Other 060016720 RAILROAD MEDICARE
Ohio MEDICAID 0872926 RAILROAD MEDICARE

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