Jacoby, Robyn Diane

Jacoby, Robyn Diane is an individual health care provider with primary practice located at 430 W Baseline Rd , Claremont CA 91711-1696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jacoby, Robyn Diane can be contacted via phone (909) 621-3916.

Contact Information

Primary practice address
430 W Baseline Rd Claremont CA 91711-1696
Phone: (909) 621-3916
Fax: (909) 625-0903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7474 California

Profile Details

NPI number 1487623575
LBN Legal business name Jacoby, Robyn Diane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 12th, 2018 - about 6 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 1487623575 NPPES
California MEDICAID 00AX74740

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