Jacobsen, Derek P.
Jacobsen, Derek P. is an individual health care provider with primary practice located at 13613 W Camino Del Sol Ste 2 , Sun City West AZ 85375-4480. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobsen, Derek P. can be contacted via phone (623) 584-2100.Contact Information
Primary practice address
13613 W Camino Del Sol Ste 2
Sun City West AZ 85375-4480
Phone: (623) 584-2100
Fax: (623) 584-0023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1933 | Arizona |
Profile Details
NPI number | 1124462593 |
---|---|
LBN Legal business name | Jacobsen, Derek P. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2013 |
Last updated | Mar 1st, 2021 - about 3 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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