Jacobs, Steve E

Jacobs, Steve E is an sole proprietor health care provider with primary practice located at 620 N Main St Ste 101, Blacksburg VA 24060-3385. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobs, Steve E can be contacted via phone (540) 953-0136.

Contact Information

Primary practice address
620 N Main St Ste 101 Blacksburg VA 24060-3385
Fax: (540) 953-1358
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000267 Virginia

Profile Details

NPI number 1033115779
LBN Legal business name Jacobs, Steve E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Sep 14th, 2011 - about 14 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 1033115779 NPPES
Virginia Other 410031149 RAILCAND MEDICARE
Virginia MEDICAID 009202609 RAILCAND MEDICARE
Virginia Other 085491 RAILCAND MEDICARE

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