Jacobs, Mary Lynn

Jacobs, Mary Lynn is an individual health care provider with primary practice located at 101 University Dr Suite A-6, Amherst MA 01002-2473. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jacobs, Mary Lynn can be contacted via phone (413) 366-5703.

Contact Information

Primary practice address
101 University Dr Suite A-6 Amherst MA 01002-2473
Phone: (413) 366-5703
Fax: (413) 992-2019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1391 Massachusetts

Profile Details

NPI number 1487739637
LBN Legal business name Jacobs, Mary Lynn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 3rd, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487739637 NPPES
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 11222870 GREATWEST
Massachusetts Other 4214936 GREATWEST
Massachusetts Other 670001710 GREATWEST
Massachusetts MEDICAID 0389005 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 972730 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts MEDICAID 9715568 GREATWEST
Massachusetts Other P328227 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 469635 GREATWEST
Massachusetts Other 043527 GREATWEST
Massachusetts Other 103355100 GREATWEST
Massachusetts Other 7710306 GREATWEST
Massachusetts Other OG0011 GREATWEST
Massachusetts Other 000000035317 GREATWEST
Massachusetts Other 690675 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 043527497 GREATWEST
Massachusetts Other 110001391MA02 GREATWEST
Massachusetts Other OT0046 GREATWEST

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