Jacobs, Michael Keith
Jacobs, Michael Keith is an individual health care provider with primary practice located at 3918 Montclair Rd Suite 105, Mountain Brk AL 35213-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Jacobs, Michael Keith can be contacted via phone (205) 705-3550.Contact Information
Primary practice address
3918 Montclair Rd Suite 105
Mountain Brk AL 35213-2425
Phone: (205) 705-3550
Fax: (205) 705-3554
Website:
Health care specialties
Profile Details
| NPI number | 1134157597 |
|---|---|
| LBN Legal business name | Jacobs, Michael Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134157597 | NPPES |
| Alabama | Other | 51136288 | BLUE CROSS |
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