Jacobs, Marianne Bernadette
Jacobs, Marianne Bernadette is an individual health care provider with primary practice located at 3109 Silkwood Ln , Port Charlotte FL 33953-5686. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Jacobs, Marianne Bernadette can be contacted via phone (615) 345-5400.Contact Information
Primary practice address
3109 Silkwood Ln
Port Charlotte FL 33953-5686
Phone: (615) 345-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 31615 | Colorado |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 31615 | Colorado |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 31615 | Colorado |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS5346 | Florida |
Profile Details
| NPI number | 1831118611 |
|---|---|
| LBN Legal business name | Jacobs, Marianne Bernadette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 2nd, 2020 - about 5 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 | 1831118611 | NPPES |
| Colorado | MEDICAID | 01316157 | |
| Colorado | Other | 84132889816 | |
| Colorado | Other | 50813 | |
| Colorado | Other | 57444Y | |
| Colorado | Other | 841328898011 | |
| Colorado | Other | P01290076 |
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