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
Fax: (765) 983-3275
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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 1568454163 NPPES
Indiana Other 1487680518 GROUP NPI
Indiana Other 100194370 GROUP NPI
Indiana Other 200288740 GROUP NPI
Indiana Other 000000588411 GROUP NPI
Indiana MEDICAID 200109120 GROUP NPI

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