Jacobs, William M.

Jacobs, William M. is an individual health care provider with primary practice located at 8405 E. Baseline Rd. Suite 107, Mesa AZ 85209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jacobs, William M. can be contacted via phone (480) 615-2010.

Contact Information

Primary practice address
8405 E. Baseline Rd. Suite 107 Mesa AZ 85209
Phone: (480) 615-2010
Fax: (480) 218-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101030878 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38147 Arizona

Profile Details

NPI number 1962587287
LBN Legal business name Jacobs, William M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 17th, 2012 - about 14 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 1962587287 NPPES
Virginia MEDICAID 6737846
Virginia MEDICAID 102616

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