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:
Health care specialties
| Specialty | Code | License # | 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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