Jacobs, Keith David

Jacobs, Keith David is an individual health care provider with primary practice located at 1052 E Spring St , St Marys OH 45885-2446. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jacobs, Keith David can be contacted via phone (419) 394-3219.

Contact Information

Primary practice address
1052 E Spring St St Marys OH 45885-2446
Phone: (419) 394-3219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-2-25168 Ohio

Profile Details

NPI number 1154313617
LBN Legal business name Jacobs, Keith David
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 19 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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