Jacob, Tony

Jacob, Tony is an sole proprietor health care provider with primary practice located at 205 Homestead Rd , Paramus NJ 07652-4709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jacob, Tony can be contacted via phone (516) 587-3406.

Contact Information

Primary practice address
205 Homestead Rd Paramus NJ 07652-4709
Phone: (516) 587-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00294500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015918 New York

Profile Details

NPI number 1396096236
LBN Legal business name Jacob, Tony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2012
Last updated Jun 3rd, 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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