Jacobs, William
Jacobs, William is an sole proprietor health care provider with primary practice located at 84 Rose Ave , Westbury NY 11590-1028. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jacobs, William can be contacted via phone (516) 876-9000.Contact Information
Primary practice address
84 Rose Ave
Westbury NY 11590-1028
Phone: (516) 876-9000
Fax: (516) 876-9033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 031699 | New York |
Profile Details
| NPI number | 1497746788 |
|---|---|
| LBN Legal business name | Jacobs, William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jun 6th, 2016 - about 10 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 | 1497746788 | NPPES |
| New York | MEDICAID | 00325273 |
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