Jacobs, Laurie B

Jacobs, Laurie B is an individual health care provider with primary practice located at 708 Foulk Rd , Wilmington DE 19803-3734. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Jacobs, Laurie B can be contacted via phone (302) 764-7714.

Contact Information

Primary practice address
708 Foulk Rd Wilmington DE 19803-3734
Phone: (302) 764-7714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X G1-0000909 Delaware

Profile Details

NPI number 1275675951
LBN Legal business name Jacobs, Laurie B
Credentials D.M.D. PA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated May 2nd, 2016 - about 10 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 1275675951 NPPES
Delaware MEDICAID 0000651508

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