Crosby, Jacob D
Crosby, Jacob D is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Crosby, Jacob D can be contacted via phone (440) 233-7232.Contact Information
Primary practice address
6140 S Broadway
Lorain OH 44053-3821
Phone: (440) 233-7232
Fax: (440) 233-9070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162822 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2304680-SUPV | Ohio |
Profile Details
| NPI number | 1508306382 |
|---|---|
| LBN Legal business name | Crosby, Jacob D |
| Credentials | LISW, LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2017 |
| Last updated | May 28th, 2025 - about last year |
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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