All Medicaid billing entities listing JACOB, JEAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $17K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MAIN STREET PHARMACY 3 LLC | BRIDGEPORT, CT | Durable Medical Equipment & Medical Supplies | $17K |