Meredith, Jacob M
Meredith, Jacob M is an individual health care provider with primary practice located at 970 Hooper Ave # 2 , Toms River NJ 08753-8319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Meredith, Jacob M can be contacted via phone (732) 228-4146.Contact Information
Primary practice address
970 Hooper Ave # 2
Toms River NJ 08753-8319
Phone: (732) 228-4146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA03892300 | New Jersey |
Profile Details
| NPI number | 1275578122 |
|---|---|
| LBN Legal business name | Meredith, Jacob M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 19th, 2020 - about 4 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 | 1275578122 | NPPES |
| New Jersey | MEDICAID | 1952005 |
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