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Contact Information

JOHN P JACOBS, MD
1401 CHESTER BLVD
RICHMOND, IN47374-1908
 Phone: 765-983-3168
 Fax: 765-983-3275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHN P JACOBS · (Male)

NPI Number 1568454163
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 12/22/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01045864
  • IN Medicaid 200109120
  • IN Other 000000588411 ANTHEM PIN
  • IN Other 100194370 GROUP MEDICAID
  • IN Other 200288740 GROUP MEDICAID
  • IN Other 1487680518 GROUP NPI
Hospital affiliation(s) Not Available
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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