Raphael, Jacob

Raphael, Jacob is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Raphael, Jacob can be contacted via phone (434) 924-2283.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0001
Phone: (434) 924-2283
Fax: (434) 982-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101247931 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0109542042 Virginia

Profile Details

NPI number 1376684936
LBN Legal business name Raphael, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 2nd, 2021 - about 3 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 1376684936 NPPES
Virginia MEDICAID 010210909

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