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Contact Information

DENNIS M JACOBS, DO
927 EAST BLVD
CHARLOTTE, NC28203-5203
 Phone: 803-288-3534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DENNIS M JACOBS · (Male)

NPI # 1780664896
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/17/2006
Last updated 10/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9601128
  • SC License # DO-979
Hospital affiliation(s)
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
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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