Jacobs, Paul Christopher
Jacobs, Paul Christopher is an individual health care provider with primary practice located at 1001 N Beadle Dr Suite 40, Carbondale IL 62901-1018. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jacobs, Paul Christopher can be contacted via phone (618) 529-4817.Contact Information
Primary practice address
1001 N Beadle Dr Suite 40
Carbondale IL 62901-1018
Phone: (618) 529-4817
Fax: (618) 351-9024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046007399 | Illinois |
Profile Details
| NPI number | 1255326500 |
|---|---|
| LBN Legal business name | Jacobs, Paul Christopher |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Aug 9th, 2013 - about 11 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 | 1255326500 | NPPES |
| Other | 410048999 | RAILROAD MEDICARE PTAN | |
| Other | 410002083 | RAILROAD MEDICARE PTAN |
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