Jacobs, Gary H

Jacobs, Gary H is an individual health care provider with primary practice located at 11990 N Central Expy , Dallas TX 75243-3714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jacobs, Gary H can be contacted via phone (972) 234-1900.

Contact Information

Primary practice address
11990 N Central Expy Dallas TX 75243-3714
Phone: (972) 234-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 530245 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X N-29165 Idaho

Profile Details

NPI number 1750300182
LBN Legal business name Jacobs, Gary H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 2nd, 2020 - about 5 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 1750300182 NPPES
Idaho MEDICAID 805858000

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