Jacobs, Mary R

Jacobs, Mary R is an individual health care provider with primary practice located at 550 N University Blvd, Uh 2180 , Indianapolis IN 46202-2879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Jacobs, Mary R can be contacted via phone (317) 944-7718.

Contact Information

Primary practice address
550 N University Blvd, Uh 2180 Indianapolis IN 46202-2879
Phone: (317) 944-7718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01043640 Indiana

Profile Details

NPI number 1972569242
LBN Legal business name Jacobs, Mary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972569242 NPPES
Indiana MEDICAID 200026240

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