Jacobsen, Egill Lars

Jacobsen, Egill Lars is an sole proprietor health care provider with primary practice located at 33 S Addison Rd Suite 103, Addison IL 60101-3868. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jacobsen, Egill Lars can be contacted via phone (630) 941-3316.

Contact Information

Primary practice address
33 S Addison Rd Suite 103 Addison IL 60101-3868
Fax: (630) 941-7020
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1841360195
LBN Legal business name Jacobsen, Egill Lars
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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