Lee, Jacob S
Lee, Jacob S is an individual health care provider with primary practice located at 72 W Jimmie Leeds Rd Suite 1100, Galloway NJ 08205-9406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Lee, Jacob S can be contacted via phone (609) 677-9729.Contact Information
Primary practice address
72 W Jimmie Leeds Rd Suite 1100
Galloway NJ 08205-9406
Phone: (609) 677-9729
Fax: (609) 652-7153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 25MA07860300 | New Jersey |
Profile Details
| NPI number | 1922116029 |
|---|---|
| LBN Legal business name | Lee, Jacob S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Apr 5th, 2012 - about 12 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 | 1922116029 | NPPES |
| New Jersey | MEDICAID | 0073989 | |
| New Jersey | Other | P00758330 | |
| New Jersey | Other | P00280613 | |
| New Jersey | Other | P00847798 |
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