Jacobs, Karen Ann
Jacobs, Karen Ann is an individual health care provider with primary practice located at 5344 Plainfield Ave Ne Suite 4, Grand Rapids MI 49525-1009. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jacobs, Karen Ann can be contacted via phone (616) 365-1979.Contact Information
Primary practice address
5344 Plainfield Ave Ne Suite 4
Grand Rapids MI 49525-1009
Phone: (616) 365-1979
Fax: (616) 365-1964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000001 | Michigan |
Profile Details
| NPI number | 1093878480 |
|---|---|
| LBN Legal business name | Jacobs, Karen Ann |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093878480 | NPPES |
| Michigan | MEDICAID | 903499018 | |
| Michigan | MEDICAID | 804687934 | |
| Michigan | Other | 640 D1 2604 |
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