Jacobs, Joshua

Jacobs, Joshua is an individual health care provider with primary practice located at 4075 Valley Rd , Cleveland OH 44109-3072. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jacobs, Joshua can be contacted via phone (216) 313-1903.

Contact Information

Primary practice address
4075 Valley Rd Cleveland OH 44109-3072
Phone: (216) 313-1903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1396309266
LBN Legal business name Jacobs, Joshua
Credentials CDCA II
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2019
Last updated Apr 26th, 2019 - about 6 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 1396309266 NPPES
Ohio MEDICAID 543

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