Mathew, Jacob
Mathew, Jacob is an individual health care provider with primary practice located at 1650 Cochrane Cir Evans Army Community Hospital, Fort Carson CO 80913-4613. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mathew, Jacob can be contacted via phone (719) 526-6073.Contact Information
Primary practice address
1650 Cochrane Cir Evans Army Community Hospital
Fort Carson CO 80913-4613
Phone: (719) 526-6073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DOS-1566 | Hawaii |
Profile Details
| NPI number | 1992068894 |
|---|---|
| LBN Legal business name | Mathew, Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2012 |
| Last updated | Sep 2nd, 2015 - about 9 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 | 1992068894 | NPPES |
| Hawaii | Other | VAD000 | UPIN |
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