Dean, Jacob Thomas
Dean, Jacob Thomas is an individual health care provider with primary practice located at 7790 Dayton Rd Suite B, Fairborn OH 45324-1442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dean, Jacob Thomas can be contacted via phone (937) 864-7363.Contact Information
Primary practice address
7790 Dayton Rd Suite B
Fairborn OH 45324-1442
Phone: (937) 864-7363
Fax: (937) 864-5895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35081458 | Ohio |
Profile Details
| NPI number | 1932172467 |
|---|---|
| LBN Legal business name | Dean, Jacob Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Oct 8th, 2010 - about 16 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 | 1932172467 | NPPES |
| Ohio | MEDICAID | 2357917 |
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