Jacobus, Brian Bernard

Jacobus, Brian Bernard is an sole proprietor health care provider with primary practice located at 1100 Sw Saint Lucie West Blvd Ste 207 , Port St Lucie FL 34986-1735. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jacobus, Brian Bernard can be contacted via phone (772) 340-0023.

Contact Information

Primary practice address
1100 Sw Saint Lucie West Blvd Ste 207 Port St Lucie FL 34986-1735
Phone: (772) 340-0023
Fax: (772) 340-0840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN10314 Florida

Profile Details

NPI number 1134143340
LBN Legal business name Jacobus, Brian Bernard
Credentials DDS, MS, PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 19th, 2007 - about 17 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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