Jacobs, Louis Israel

Jacobs, Louis Israel is an sole proprietor health care provider with primary practice located at 6255 Inkster Rd Suite #206, Garden City MI 48135-2577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Jacobs, Louis Israel can be contacted via phone (734) 421-0044.

Contact Information

Primary practice address
6255 Inkster Rd Suite #206 Garden City MI 48135-2577
Phone: (734) 421-0044
Fax: (734) 458-3364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X LJ006797 Michigan

Profile Details

NPI number 1174522163
LBN Legal business name Jacobs, Louis Israel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Dec 3rd, 2015 - about 11 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 1174522163 NPPES
Michigan MEDICAID 1367083
Michigan Other 5821167

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