Jacoby, Rachael Sue
Jacoby, Rachael Sue is an individual health care provider with primary practice located at 65 Mario Capecchi Dr , Salt Lake City UT 84132-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Jacoby, Rachael Sue can be contacted via phone (801) 581-2352.Contact Information
Primary practice address
65 Mario Capecchi Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-2352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5764061-1205 | Utah |
Profile Details
| NPI number | 1265659213 |
|---|---|
| LBN Legal business name | Jacoby, Rachael Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Oct 21st, 2021 - about 4 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 | 1265659213 | NPPES |
| Wisconsin | Other | 60966 | DEAN HEALTH INSURANCE |
| Wisconsin | MEDICAID | 1265659213 | DEAN HEALTH INSURANCE |
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