Jacobs, Leslie J

Jacobs, Leslie J is an sole proprietor health care provider with primary practice located at 113 Rue Fontaine , Lafayette LA 70508. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Jacobs, Leslie J can be contacted via phone (337) 500-1500.

Contact Information

Primary practice address
113 Rue Fontaine Lafayette LA 70508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5189 Louisiana

Profile Details

NPI number 1720115058
LBN Legal business name Jacobs, Leslie J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Nov 26th, 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 1720115058 NPPES
Louisiana Other 452452184 DENTAL INSURANCES

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