Jacobs, William Solomon
Jacobs, William Solomon is an individual health care provider with primary practice located at 997 St. Sebastian Way , Augusta GA 30901-2603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Jacobs, William Solomon can be contacted via phone (706) 721-6597.Contact Information
Primary practice address
997 St. Sebastian Way
Augusta GA 30901-2603
Phone: (706) 721-6597
Fax: (706) 721-1793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 071681 | Georgia |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 071681 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 071681 | Georgia |
Profile Details
| NPI number | 1619915824 |
|---|---|
| LBN Legal business name | Jacobs, William Solomon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1619915824 | NPPES |
| Georgia | MEDICAID | 000291101C,D | |
| Georgia | Other | 071681 |
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