Jacobs, John P
Jacobs, John P is an individual health care provider with primary practice located at 1401 Chester Blvd , Richmond IN 47374-1908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Jacobs, John P can be contacted via phone (765) 983-3168.Contact Information
Primary practice address
1401 Chester Blvd
Richmond IN 47374-1908
Phone: (765) 983-3168
Fax: (765) 983-3275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01045864 | Indiana |
Profile Details
| NPI number | 1568454163 |
|---|---|
| LBN Legal business name | Jacobs, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568454163 | NPPES |
| Indiana | Other | 000000588411 | ANTHEM PIN |
| Indiana | Other | 1487680518 | ANTHEM PIN |
| Indiana | Other | 200288740 | ANTHEM PIN |
| Indiana | MEDICAID | 200109120 | ANTHEM PIN |
| Indiana | Other | 100194370 | ANTHEM PIN |
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