Michael, Jacob Anthony
Michael, Jacob Anthony is an individual health care provider with primary practice located at 142 Pavilion Pkwy , Newport KY 41071-2884. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Michael, Jacob Anthony can be contacted via phone (859) 291-9464.Contact Information
Primary practice address
142 Pavilion Pkwy
Newport KY 41071-2884
Phone: (859) 291-9464
Fax: (859) 291-3222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6219 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2007DT | Kentucky |
Profile Details
| NPI number | 1356780670 |
|---|---|
| LBN Legal business name | Michael, Jacob Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2013 |
| Last updated | Mar 21st, 2022 - about 3 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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