Mace, Jacob Daniel

Mace, Jacob Daniel is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-2332. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Mace, Jacob Daniel can be contacted via phone (434) 924-2231.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-2332
Phone: (434) 924-2231
Fax: (434) 924-9295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102206549 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 0102206549 Virginia

Profile Details

NPI number 1558867127
LBN Legal business name Mace, Jacob Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Nov 29th, 2021 - about 5 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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