Jacoby, Steven
Jacoby, Steven is an individual health care provider with primary practice located at 2 Devine Street Suite # 1, North Haven CT 06473-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacoby, Steven can be contacted via phone (203) 789-2272.Contact Information
Primary practice address
2 Devine Street Suite # 1
North Haven CT 06473-2193
Phone: (203) 789-2272
Fax: (203) 865-8614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 026166 | Connecticut |
Profile Details
| NPI number | 1215948526 |
|---|---|
| LBN Legal business name | Jacoby, Steven |
| Credentials | M.D., F.A.C.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215948526 | NPPES |
| Connecticut | Other | 060019531 | MEDICARE RAILROAD PIN |
| Connecticut | MEDICAID | 001261668 | MEDICARE RAILROAD PIN |
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