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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRUCE E JACOBS, DO
126 AIRPORT RD
HAZLETON, PA18202-9756
 Phone: 570-459-9730
 Fax: 570-459-9736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRUCE E JACOBS · (Male)

NPI Number 1447219027
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/21/2006
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
PA License # OS008757L
PA Medicare (Unspecified) 474742
Medicare UPIN E37903
Hospital affiliation(s)
  • GEISINGER MEDICAL CENTER - (Acute Care)
    100 NORTH ACADEMY AVENUE
    DANVILLE, PA 17822
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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