Jacobs, William Carl

Jacobs, William Carl is an individual health care provider with primary practice located at 1000 Blythe Blvd Fl 4 , Charlotte NC 28203-5812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Jacobs, William Carl can be contacted via phone (704) 973-5500.

Contact Information

Primary practice address
1000 Blythe Blvd Fl 4 Charlotte NC 28203-5812
Phone: (704) 973-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 34271 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2011-01022 North Carolina

Profile Details

NPI number 1639317308
LBN Legal business name Jacobs, William Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2009
Last updated Apr 16th, 2018 - about 7 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 1639317308 NPPES
South Carolina Other 34271 STATE MEDICAL LICENSE
South Carolina Other 2011-01022 STATE MEDICAL LICENSE

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