Jacobs, Dean Robert

Jacobs, Dean Robert is an individual health care provider with primary practice located at 115 Atrium Way Ste 120 , Columbia SC 29223-6382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacobs, Dean Robert can be contacted via phone (803) 788-2276.

Contact Information

Primary practice address
115 Atrium Way Ste 120 Columbia SC 29223-6382
Phone: (803) 788-2276
Fax: (803) 788-1022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12570 South Carolina

Profile Details

NPI number 1427034040
LBN Legal business name Jacobs, Dean Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jun 8th, 2022 - about 4 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 1427034040 NPPES
South Carolina MEDICAID 125705

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