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
Phone: (207) 795-7575
Fax: (207) 344-0350
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093781296 | NPPES |
| Louisiana | MEDICAID | 1053538 |
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