Jacobs, Martin P

Jacobs, Martin P is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Jacobs, Martin P can be contacted via phone (937) 296-7211.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 296-7211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.048988 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35048988 Ohio
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 35.048988 Ohio

Profile Details

NPI number 1659327534
LBN Legal business name Jacobs, Martin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 15th, 2019 - about 6 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 1659327534 NPPES
Other 360003354 MEDICARE RAILROAD
MEDICAID 0629921 MEDICARE RAILROAD

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