Jacobs, Wayne E

Jacobs, Wayne E is an individual health care provider with primary practice located at 3061 S Maryland Pkwy Suite 102, Las Vegas NV 89109-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Jacobs, Wayne E can be contacted via phone (702) 731-2888.

Contact Information

Primary practice address
3061 S Maryland Pkwy Suite 102 Las Vegas NV 89109-2298
Phone: (702) 731-2888
Fax: (702) 696-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 7655 Nevada

Profile Details

NPI number 1811975873
LBN Legal business name Jacobs, Wayne E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811975873 NPPES
Other 300064947 RR MEDICARE
MEDICAID 200290219 RR MEDICARE
Other NV4817 RR MEDICARE

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