Jacobs, Renee Kathleen

Jacobs, Renee Kathleen is an individual health care provider with primary practice located at 9862 W Belleview Ave , Littleton CO 80123-2101. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacobs, Renee Kathleen can be contacted via phone (303) 979-6910.

Contact Information

Primary practice address
9862 W Belleview Ave Littleton CO 80123-2101
Fax: (303) 979-2212
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1542 Colorado

Profile Details

NPI number 1780644948
LBN Legal business name Jacobs, Renee Kathleen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1780644948 NPPES
Colorado MEDICAID 08915423

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