Jacobs, Michael Joseph

Jacobs, Michael Joseph is an sole proprietor health care provider with primary practice located at 1485 George Dieter Dr , El Paso TX 79936-7650. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jacobs, Michael Joseph can be contacted via phone (915) 790-2700.

Contact Information

Primary practice address
1485 George Dieter Dr El Paso TX 79936-7650
Phone: (915) 790-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 577699 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP01504 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP117607 Texas

Profile Details

NPI number 1619123726
LBN Legal business name Jacobs, Michael Joseph
Credentials APRN FNP-C ENP-C DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2008
Last updated May 9th, 2022 - about 3 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 1619123726 NPPES
Texas Other TXB138841 MEDICARE
Texas MEDICAID 200290904 MEDICARE

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