Jacobi, Mark
Jacobi, Mark is an individual health care provider with primary practice located at 1225 E Coolspring Ave , Michigan City IN 46360-6312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jacobi, Mark can be contacted via phone (219) 878-5037.Contact Information
Primary practice address
1225 E Coolspring Ave
Michigan City IN 46360-6312
Phone: (219) 878-5037
Fax: (219) 873-2931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01027648A | Indiana |
Profile Details
| NPI number | 1598735607 |
|---|---|
| LBN Legal business name | Jacobi, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 16th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598735607 | NPPES |
| Indiana | MEDICAID | 100162940 |
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