Jacob, Abraham

Jacob, Abraham is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240-7027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jacob, Abraham can be contacted via phone (207) 795-7575.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240-7027
Fax: (207) 344-0350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200002 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD20222 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14874 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20222 Maine

Profile Details

NPI number 1093781296
LBN Legal business name Jacob, Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 22nd, 2021 - about 4 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 1093781296 NPPES
Louisiana MEDICAID 1053538

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