Jacobsen, Jack
Jacobsen, Jack is an sole proprietor health care provider with primary practice located at 24 S Gore Ave , Webster Groves MO 63119-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobsen, Jack can be contacted via phone (314) 736-5446.Contact Information
Primary practice address
24 S Gore Ave
Webster Groves MO 63119-2910
Phone: (314) 736-5446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2007031620 | Missouri |
Profile Details
| NPI number | 1679751291 |
|---|---|
| LBN Legal business name | Jacobsen, Jack |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Jan 19th, 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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