Tom, Jacob Joseph
Tom, Jacob Joseph is an individual health care provider with primary practice located at 960 N 16Th St Ste 103 , Springfield OR 97477-4175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tom, Jacob Joseph can be contacted via phone (541) 726-4694.Contact Information
Primary practice address
960 N 16Th St Ste 103
Springfield OR 97477-4175
Phone: (541) 726-4694
Fax: (541) 744-6069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39631 | Washington |
Profile Details
| NPI number | 1912972258 |
|---|---|
| LBN Legal business name | Tom, Jacob Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jun 8th, 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 | 1912972258 | NPPES |
| Oregon | MEDICAID | 287539 |
Popular Providers
-
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Zefo, Nancy
902 Frostwood Dr Ste 275, Houston TX 77024-2445 -
Longstreth, Paul L
960 N 16Th St Suite105, Springfield OR 97477-4175 -
Boland, Pamela
1326 Eisenhower Dr , Savannah GA 31406-3928 -
Anderson, Jeffrey Scott
445 Harlow Rd Ste 200 , Springfield OR 97477-1341 -
Frachtman, Richard Julian
902 Frostwood Dr Ste 275, Houston TX 77024-2445 -
Coben, Marcie L
12700 Park Central Dr Ste 430, Dallas TX 75251-1527 -
Prince, Donna
2799 W Grand Blvd , Detroit MI 48202-2608