Jacobs, Glenn Paul

Jacobs, Glenn Paul is an individual health care provider with primary practice located at 368 Lakehurst Rd Ste 301, Toms River NJ 08755-7339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacobs, Glenn Paul can be contacted via phone (732) 240-1048.

Contact Information

Primary practice address
368 Lakehurst Rd Ste 301 Toms River NJ 08755-7339
Fax: (732) 240-3464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA03204500 New Jersey

Profile Details

NPI number 1417952219
LBN Legal business name Jacobs, Glenn Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952219 NPPES
New Jersey MEDICAID 1645901

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