Jacobsen, Cory J

Jacobsen, Cory J is an individual health care provider with primary practice located at 57950 Leavenworth St , Mcconnell Afb KS 67221-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Jacobsen, Cory J can be contacted via phone (316) 759-6300.

Contact Information

Primary practice address
57950 Leavenworth St Mcconnell Afb KS 67221-3505
Phone: (316) 759-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101276392 Virginia
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0101276392 Virginia

Profile Details

NPI number 1457930265
LBN Legal business name Jacobsen, Cory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Sep 27th, 2023 - about last year

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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