Jacoby, Mark Edward

Jacoby, Mark Edward is an individual health care provider with primary practice located at 2900 Bradford St Ne , Grand Rapids MI 49525-6427. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jacoby, Mark Edward can be contacted via phone (616) 885-5000.

Contact Information

Primary practice address
2900 Bradford St Ne Grand Rapids MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 486-6702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13067 New Hampshire
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301080162 Michigan

Profile Details

NPI number 1871544551
LBN Legal business name Jacoby, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 17th, 2021 - about 3 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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