Jacobs, Mark D.

Jacobs, Mark D. is an individual health care provider with primary practice located at 100 2Nd Ave , Needham MA 02494-2809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jacobs, Mark D. can be contacted via phone (781) 726-4800.

Contact Information

Primary practice address
100 2Nd Ave Needham MA 02494-2809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 242029 Massachusetts

Profile Details

NPI number 1124013883
LBN Legal business name Jacobs, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 19th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124013883 NPPES
Massachusetts Other NPI 1124013883
Massachusetts Other 9239986 1124013883
Massachusetts Other 9971374 1124013883
Massachusetts Other 242029 1124013883
Massachusetts Other 404478 1124013883
Massachusetts Other AA173484 1124013883

Popular Providers