Jacobs, Paul Allen

Jacobs, Paul Allen is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 302, Edgewood KY 41017-5402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Paul Allen can be contacted via phone (859) 341-2510.

Contact Information

Primary practice address
20 Medical Village Dr Ste 302 Edgewood KY 41017-5402
Phone: (859) 341-2510
Fax: (859) 578-5888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35. 070588 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32034 Kentucky

Profile Details

NPI number 1841295243
LBN Legal business name Jacobs, Paul Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 27th, 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 1841295243 NPPES
Kentucky MEDICAID 7100172830

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