Mikhail, Irene Jacoub

Mikhail, Irene Jacoub is an sole proprietor health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Mikhail, Irene Jacoub can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 35121793 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35121793 Ohio
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 35121793 Ohio

Profile Details

NPI number 1831356401
LBN Legal business name Mikhail, Irene Jacoub
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated Feb 15th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831356401 NPPES
Ohio Other H229700 CGS - MEDICARE
Ohio MEDICAID 0087790 CGS - MEDICARE

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