Jacobsen, Andre Jack
Jacobsen, Andre Jack is an individual health care provider with primary practice located at 3300 Providence Dr Ste 205 , Anchorage AK 99508-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jacobsen, Andre Jack can be contacted via phone (907) 561-1510.Contact Information
Primary practice address
3300 Providence Dr Ste 205
Anchorage AK 99508-4620
Phone: (907) 561-1510
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 200882 | Alaska |
Profile Details
NPI number | 1629574223 |
---|---|
LBN Legal business name | Jacobsen, Andre Jack |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2018 |
Last updated | Sep 7th, 2023 - about 2 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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