Jacobs, Edith Claire

Jacobs, Edith Claire is an individual health care provider with primary practice located at 406 Linwood Ave , Buffalo NY 14209. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Edith Claire can be contacted via phone (716) 886-7304.

Contact Information

Primary practice address
406 Linwood Ave Buffalo NY 14209
Phone: (716) 886-7304
Fax: (716) 886-7398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009157 New York

Profile Details

NPI number 1346469293
LBN Legal business name Jacobs, Edith Claire
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 19 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 1346469293 NPPES
New York MEDICAID 02103753

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