Jacobi, Kathryn

Jacobi, Kathryn is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor Cancer & Geriatrics Ctr Recp B, Ann Arbor MI 48109-0912. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jacobi, Kathryn can be contacted via phone (734) 936-9015.

Contact Information

Primary practice address
1500 East Medical Center Dr B1 Floor Cancer & Geriatrics Ctr Recp B Ann Arbor MI 48109-0912
Phone: (734) 936-9015
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704173064 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704173064 Michigan

Profile Details

NPI number 1912031147
LBN Legal business name Jacobi, Kathryn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1912031147 NPPES
Michigan MEDICAID 4304470

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