Bruce K Jacobson Ph D P C

LBN: Bruce K Jacobson Ph D P C
Bruce K Jacobson Ph D P C is an health care organization with primary practice located at 4190 Highland Dr Suite 211, Salt Lake City UT 84124-2600. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Bruce K Jacobson Ph D P C can be contacted via phone (801) 272-0614, or through Jacobson, Bruce K via phone (801) 272-0614.

Contact Information

Primary practice address
4190 Highland Dr Suite 211 Salt Lake City UT 84124-2600
Phone: (801) 272-0614
Fax: (801) 272-0678
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Bruce K PH D P C
Phone: (801) 272-0614

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1162592501 Utah

Profile Details

NPI number 1417913575
LBN Legal business name Bruce K Jacobson Ph D P C
DBA Doing business as
Authorized official Jacobson, Bruce K PH D P C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 16th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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