Jacobs, Mark I

Jacobs, Mark I is an individual health care provider with primary practice located at 5 Founders St Ste 102 , Willimantic CT 06226-2050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacobs, Mark I can be contacted via phone (860) 456-2898.

Contact Information

Primary practice address
5 Founders St Ste 102 Willimantic CT 06226-2050
Phone: (860) 456-2898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9159 New Hampshire

Profile Details

NPI number 1487638409
LBN Legal business name Jacobs, Mark I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Aug 1st, 2023 - about 3 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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