Jacobs, Bradley S

Jacobs, Bradley S is an individual health care provider with primary practice located at 30 E Apple St Ste 5254A , Dayton OH 45409-2939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jacobs, Bradley S can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-086454 Ohio

Profile Details

NPI number 1104882976
LBN Legal business name Jacobs, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 20th, 2015 - about 11 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 1104882976 NPPES
Ohio MEDICAID 2633823

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