Jon R Jacobs

LBN: Jon R Jacobs
Jon R Jacobs is an health care organization with primary practice located at 9213 University Blvd Ste D , North Charleston SC 29406-9145. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jon R Jacobs can be contacted via phone (843) 797-6564, or through Smith, Shannon Leigh via phone (843) 797-6564.

Contact Information

Primary practice address
9213 University Blvd Ste D North Charleston SC 29406-9145
Phone: (843) 797-6564
Fax: (843) 572-9165
Website:
Map and Directions
Authorized official contact:
Name: Smith, Shannon Leigh Registered Nurse (RN)
Phone: (843) 797-6564

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 199702336 South Carolina

Profile Details

NPI number 1093989006
LBN Legal business name Jon R Jacobs
DBA Doing business as
Authorized official Smith, Shannon Leigh Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093989006 NPPES
South Carolina Other C611963397 MEDICARE
South Carolina Other 1568535953 MEDICARE
South Carolina MEDICAID 113004 MEDICARE

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