Jacobs, Lawrence T

Jacobs, Lawrence T is an individual health care provider with primary practice located at 8235 Grand Ave , River Grove IL 60171-1539. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jacobs, Lawrence T can be contacted via phone (708) 453-0250.

Contact Information

Primary practice address
8235 Grand Ave River Grove IL 60171-1539
Phone: (708) 453-0250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1609930270
LBN Legal business name Jacobs, Lawrence T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - 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.

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