Jacobsen, Alma

Jacobsen, Alma is an sole proprietor health care provider with primary practice located at 400 Renaissance Blvd , N Brunswick NJ 08902-5100. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacobsen, Alma can be contacted via phone (732) 821-0300.

Contact Information

Primary practice address
400 Renaissance Blvd N Brunswick NJ 08902-5100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00583600 New Jersey

Profile Details

NPI number 1174648059
LBN Legal business name Jacobsen, Alma
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jun 18th, 2013 - about 11 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 1174648059 NPPES
New Jersey MEDICAID 0015725

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