Jacobs, Robert A

Jacobs, Robert A is an individual health care provider with primary practice located at 4616 Nesconset Hwy , Port Jefferson Station NY 11776-2563. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacobs, Robert A can be contacted via phone (631) 473-7070.

Contact Information

Primary practice address
4616 Nesconset Hwy Port Jefferson Station NY 11776-2563
Phone: (631) 473-7070
Fax: (631) 331-2654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 133763 New York

Profile Details

NPI number 1194810390
LBN Legal business name Jacobs, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 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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