Jacobs, Simon
Jacobs, Simon is an individual health care provider with primary practice located at 100 Ter Heun Dr Department Of Hospital Medicine, Falmouth MA 02540-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jacobs, Simon can be contacted via phone (508) 457-3748.Contact Information
Primary practice address
100 Ter Heun Dr Department Of Hospital Medicine
Falmouth MA 02540-2503
Phone: (508) 457-3748
Fax: (508) 457-3749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 237357 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA079874 | New Jersey |
Profile Details
| NPI number | 1609836162 |
|---|---|
| LBN Legal business name | Jacobs, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 25th, 2014 - about 10 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 | 1609836162 | NPPES |
| Massachusetts | Other | P00214923 | MEDICARE RAIL ROAD |
| Massachusetts | MEDICAID | 0096741 | MEDICARE RAIL ROAD |
| Massachusetts | Other | P00342310 | MEDICARE RAIL ROAD |
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