Jacubowitz, Sam

Jacubowitz, Sam is an individual health care provider with primary practice located at 1200 N Elm St , Greensboro NC 27401-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jacubowitz, Sam can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1200 N Elm St Greensboro NC 27401-1004
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 93-00161 North Carolina

Profile Details

NPI number 1720043508
LBN Legal business name Jacubowitz, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 9th, 2011 - about 13 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 1720043508 NPPES
North Carolina Other 45709 NC BLUE CROSS BLUE SHIELD
North Carolina Other 39-01968 NC BLUE CROSS BLUE SHIELD
North Carolina Other 4419 NC BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8945709 NC BLUE CROSS BLUE SHIELD

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