Fields-Jacobson, Lisa

Fields-Jacobson, Lisa is an individual health care provider with primary practice located at 169 Main St , New Paltz NY 12561-1119. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fields-Jacobson, Lisa can be contacted via phone (845) 256-2220.

Contact Information

Primary practice address
169 Main St New Paltz NY 12561-1119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X0057601 New York
Chiropractic Providers / Chiropractor 111N00000X CR1527 Maine

Profile Details

NPI number 1366405862
LBN Legal business name Fields-Jacobson, Lisa
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366405862 NPPES
New York Other WCBC057606 WORKERS COMP
New York Other 465745R WORKERS COMP

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