Jacob, Jean K

Jacob, Jean K is an individual health care provider with primary practice located at 2117 Boston Ave , Bridgeport CT 06610-3030. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jacob, Jean K can be contacted via phone (203) 493-4251.

Contact Information

Primary practice address
2117 Boston Ave Bridgeport CT 06610-3030
Phone: (203) 493-4251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PCT0009700 Connecticut
Pharmacy Service Providers / Pharmacist 183500000X 28RI02804900 New Jersey
Pharmacy Service Providers / Pharmacist 183500000X 051292532 Illinois

Profile Details

NPI number 1417280652
LBN Legal business name Jacob, Jean K
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2009
Last updated Dec 26th, 2015 - about 11 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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