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
Phone: (732) 821-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1174648059 | NPPES |
| New Jersey | MEDICAID | 0015725 |
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