Jacobs, Norman M

Jacobs, Norman M is an individual health care provider with primary practice located at 1805 27Th St Somc, Portsmouth OH 45662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jacobs, Norman M can be contacted via phone (740) 356-8117.

Contact Information

Primary practice address
1805 27Th St Somc Portsmouth OH 45662
Phone: (740) 356-8117
Fax: (740) 353-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 35050302 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51107 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MC-177 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35050302 Ohio

Profile Details

NPI number 1407856214
LBN Legal business name Jacobs, Norman M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 19th, 2023 - about last year

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 1407856214 NPPES
Ohio Other P00176289 SOM RR MDCR PIN NUMBER
Ohio MEDICAID 6478787200 SOM RR MDCR PIN NUMBER
Ohio Other 000000203530 SOM RR MDCR PIN NUMBER
Ohio Other TP318 SOM RR MDCR PIN NUMBER
Ohio MEDICAID 0635389 SOM RR MDCR PIN NUMBER

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