Jacoby, Jeanne

Jacoby, Jeanne is an individual health care provider with primary practice located at Cedar Crest & I-78 , Allentown PA 18105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jacoby, Jeanne can be contacted via phone (610) 402-8130.

Contact Information

Primary practice address
Cedar Crest & I-78 Allentown PA 18105
Phone: (610) 402-8130
Fax: (610) 402-7160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD417149 Pennsylvania

Profile Details

NPI number 1891769899
LBN Legal business name Jacoby, Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 27th, 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 1891769899 NPPES
Pennsylvania Other 930125852 RR MEDICARE
Pennsylvania MEDICAID 0018872250005 RR MEDICARE
Pennsylvania MEDICAID 0018872250007 RR MEDICARE
Pennsylvania Other JA1369121 RR MEDICARE

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