Jacobsen, Juliet Christine

Jacobsen, Juliet Christine is an individual health care provider with primary practice located at 55 Fruit Street Fnd 600, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Jacobsen, Juliet Christine can be contacted via phone (617) 724-9197.

Contact Information

Primary practice address
55 Fruit Street Fnd 600 Boston MA 02114-2696
Phone: (617) 724-9197
Fax: (617) 724-8693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223973 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 223973 Massachusetts

Profile Details

NPI number 1245221480
LBN Legal business name Jacobsen, Juliet Christine
Credentials MD DPHI
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 26th, 2020 - about 4 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 1245221480 NPPES
Massachusetts MEDICAID 2101076
Massachusetts Other 468394
Massachusetts Other J28570

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