Jacobs, Stuart
Jacobs, Stuart is an sole proprietor health care provider with primary practice located at 424 Ben Oaks Dr E , Severna Park MD 21146. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Jacobs, Stuart can be contacted via phone (410) 215-8900.Contact Information
Primary practice address
424 Ben Oaks Dr E
Severna Park MD 21146
Phone: (410) 215-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 549 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D22483 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0022483 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D22483 | Maryland |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01083037A | Indiana |
Profile Details
| NPI number | 1467418111 |
|---|---|
| LBN Legal business name | Jacobs, Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Dec 4th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467418111 | NPPES |
| Other | 129242 | UHC RENDERING | |
| Other | 58184 38184 | UHC RENDERING | |
| Other | 4069628 | UHC RENDERING | |
| Other | 4800019 | UHC RENDERING | |
| Other | 1344238 | UHC RENDERING | |
| Other | 1431 | UHC RENDERING | |
| MEDICAID | 310641100 | UHC RENDERING | |
| Other | 290008295 | UHC RENDERING | |
| Other | 32582512 | UHC RENDERING | |
| Other | J4660002 | UHC RENDERING |
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