Sage, Jacob
Sage, Jacob is an individual health care provider with primary practice located at 125 Paterson St Clinical Academic Building - Suite 6100, New Brunswick NJ 08901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sage, Jacob can be contacted via phone (732) 235-7733.Contact Information
Primary practice address
125 Paterson St Clinical Academic Building - Suite 6100
New Brunswick NJ 08901-1962
Phone: (732) 235-7733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA02762200 | New Jersey |
Profile Details
| NPI number | 1912072109 |
|---|---|
| LBN Legal business name | Sage, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Sep 21st, 2011 - about 13 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 | 1912072109 | NPPES |
| New Jersey | Other | 130005904 | RR MCR PTAN |
| New Jersey | MEDICAID | 1903802 | RR MCR PTAN |
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Hu, William T
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