Jacob, Joseph P

Jacob, Joseph P is an individual health care provider with primary practice located at 2695 Rocky Mountain Ave Suite 200, Loveland CO 80538-8702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Jacob, Joseph P can be contacted via phone (970) 495-8490.

Contact Information

Primary practice address
2695 Rocky Mountain Ave Suite 200 Loveland CO 80538-8702
Phone: (970) 495-8490
Fax: (970) 484-5682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 43793 Colorado
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X DR.0043793 Colorado

Profile Details

NPI number 1568416493
LBN Legal business name Jacob, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Mar 23rd, 2016 - about 10 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 1568416493 NPPES
Wyoming MEDICAID 123553200
Wyoming MEDICAID 19835027
Wyoming Other P00311590

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