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Contact Information

PAUL B JACOB, DO
9800 BROADWAY EXTENSION
SUITE 201
OKLAHOMA CITY, OK73114
 Phone: 405-424-5426
 Fax: 405-424-5431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PAUL B JACOB · (Male)

NPI # 1548433345
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/12/2008
Last updated 02/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 390200000X
  • OH License # OH-9638
  • OK License # 5494
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    3100 SOUTHWEST 89TH STREET
    OKLAHOMA CITY, OK 73159
  • INTEGRIS BAPTIST MEDICAL CENTER - (Acute Care)
    3300 NORTHWEST EXPRESSWAY
    OKLAHOMA CITY, OK 73112
  • MERCY HEALTH CENTER INC - (Acute Care)
    4300 WEST MEMORIAL ROAD
    OKLAHOMA CITY, OK 73120
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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