Jacobsen, Eric J.

Jacobsen, Eric J. is an individual health care provider with primary practice located at 1911 Johnson Ave , San Luis Obispo CA 93401-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jacobsen, Eric J. can be contacted via phone (805) 543-5353.

Contact Information

Primary practice address
1911 Johnson Ave San Luis Obispo CA 93401-4131
Phone: (805) 543-5353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A63033 California

Profile Details

NPI number 1568405603
LBN Legal business name Jacobsen, Eric J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568405603 NPPES
California MEDICAID 00A630330

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