Jacoby, Richard Michael
Jacoby, Richard Michael is an individual health care provider with primary practice located at 700 Garden View Ct Ste 204 , Encinitas CA 92024-2478. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jacoby, Richard Michael can be contacted via phone (760) 452-6334.Contact Information
Primary practice address
700 Garden View Ct Ste 204
Encinitas CA 92024-2478
Phone: (760) 452-6334
Fax: (760) 349-9755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 9400849 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 9400849 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G161416 | California |
Profile Details
| NPI number | 1053353029 |
|---|---|
| LBN Legal business name | Jacoby, Richard Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Oct 29th, 2019 - about 5 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 | 1053353029 | NPPES |
| North Carolina | Other | 45580 | BCBS |
| North Carolina | Other | P00612426 | BCBS |
| North Carolina | Other | 1053353029 | BCBS |
| North Carolina | MEDICAID | N00849 | BCBS |
| North Carolina | MEDICAID | 8945580 | BCBS |
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