Jacobelli, Michael C

Jacobelli, Michael C is an sole proprietor health care provider with primary practice located at 1205 Langhorne Newtown Rd Suite 106, Langhorne PA 19047-1219. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacobelli, Michael C can be contacted via phone (215) 757-5131.

Contact Information

Primary practice address
1205 Langhorne Newtown Rd Suite 106 Langhorne PA 19047-1219
Fax: (215) 757-5870
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD024059E Pennsylvania

Profile Details

NPI number 1184675209
LBN Legal business name Jacobelli, Michael C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2006
Last updated Jun 4th, 2008 - about 18 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 1184675209 NPPES
Pennsylvania MEDICAID 0009647870003

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