Jacobs, Stuart

Jacobs, Stuart is an sole proprietor health care provider with primary practice located at 424 Ben Oaks Dr E , Severna Park MD 21146. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Jacobs, Stuart can be contacted via phone (410) 215-8900.

Contact Information

Primary practice address
424 Ben Oaks Dr E Severna Park MD 21146
Phone: (410) 215-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 549 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X D22483 Maryland
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D0022483 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D22483 Maryland
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01083037A Indiana

Profile Details

NPI number 1467418111
LBN Legal business name Jacobs, Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Dec 4th, 2019 - about 5 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 1467418111 NPPES
Other 129242 UHC RENDERING
Other 58184 38184 UHC RENDERING
Other 4069628 UHC RENDERING
Other 4800019 UHC RENDERING
Other 1344238 UHC RENDERING
Other 1431 UHC RENDERING
MEDICAID 310641100 UHC RENDERING
Other 290008295 UHC RENDERING
Other 32582512 UHC RENDERING
Other J4660002 UHC RENDERING

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