Jakubs, Edward Joseph

Jakubs, Edward Joseph is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 400 , West Columbia SC 29169-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Jakubs, Edward Joseph can be contacted via phone (803) 936-3300.

Contact Information

Primary practice address
146 E Hospital Dr Ste 400 West Columbia SC 29169-4800
Phone: (803) 936-3300
Fax: (803) 936-7735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 27836 South Carolina

Profile Details

NPI number 1295794212
LBN Legal business name Jakubs, Edward Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Nov 6th, 2020 - about 5 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 1295794212 NPPES
South Carolina MEDICAID 278363

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