Jacobs, Marileen Ann

Jacobs, Marileen Ann is an sole proprietor health care provider with primary practice located at 1512 E Gilbert Ave , Coeur D Alene ID 83815-6216. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Jacobs, Marileen Ann can be contacted via phone (208) 664-4398.

Contact Information

Primary practice address
1512 E Gilbert Ave Coeur D Alene ID 83815-6216
Phone: (208) 664-4398
Fax: (208) 667-4733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1023019494
LBN Legal business name Jacobs, Marileen Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023019494 NPPES
Idaho Other 8A760 BLUE CROSS
Idaho Other 000010014587 BLUE CROSS

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