Shibin Jacob
Critical Care Medicine
101 E Wt Harris Blvd Bldg 5000 Suite #5101
Charlotte
, North Carolina 28262-3485
Shibin Jacob
Critical Care Medicine
101 E Wt Harris Blvd Bldg 5000 Suite #5101
Charlotte
, North Carolina 28262-3485
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About
Features
Specialties
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Shibin Jacob
- Po Box 19305
- Charlotte, NC
- Zip : 28219-9305
- Phone :
Second Address
- Shibin Jacob
- 101 E Wt Harris Blvd Bldg 5000 Suite #5101
- Charlotte, NC
- Zip : 28262-3485
- Phone : (704) 863-5847
Reviews
FAQs
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What type of doctor is Shibin Jacob
In what state does Shibin Jacob practice in?
Where is Shibin Jacob ’s practice located?
What is Shibin Jacob ’s gender?
Is Shibin Jacob a sole practitioner?
Is Shibin Jacob accepting new patients?
What languages does Shibin Jacob speak?
Does Shibin Jacob accept insurance?
Does Shibin Jacob offers telemedicine?
What is Shibin Jacob ’s professional license number?
What is Shibin Jacob ’s NPI number?
Does Shibin Jacob have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 2009-01528 | NC |
| N | 207RC0200X | Critical Care Medicine | 37645 | SC |
National Provider Identifier
| NPI | 1003867839 |
|---|---|
| Provider Name | Shibin Jacob |
| First Address | Charlotte, NC 28219-9305 |
| Second Address | Charlotte, NC 28262-3485 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 27/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H33411 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.