Jacob, Robert B

Jacob, Robert B is an sole proprietor health care provider with primary practice located at 4617 Ruffner St Ste 200 , San Diego CA 92111-2284. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jacob, Robert B can be contacted via phone (858) 268-1006.

Contact Information

Primary practice address
4617 Ruffner St Ste 200 San Diego CA 92111-2284
Phone: (858) 268-1006
Fax: (858) 268-5097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X B 25912 California

Profile Details

NPI number 1215093315
LBN Legal business name Jacob, Robert B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215093315 NPPES
California MEDICAID B25912-01
California Other 25912

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