Jacobs, Madeia H.
Jacobs, Madeia H. is an sole proprietor health care provider with primary practice located at 225 N Presidential Blvd Ste 103 , Bala Cynwyd PA 19004-1258. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Jacobs, Madeia H. can be contacted via phone (215) 907-7911.Contact Information
Primary practice address
225 N Presidential Blvd Ste 103
Bala Cynwyd PA 19004-1258
Phone: (215) 907-7911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | RN293559L | Pennsylvania |
Profile Details
| NPI number | 1194150896 |
|---|---|
| LBN Legal business name | Jacobs, Madeia H. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Apr 29th, 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 | 1194150896 | NPPES |
| Pennsylvania | MEDICAID | 1194150896 |
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