Jacobsen, Kimberly
Jacobsen, Kimberly is an individual health care provider with primary practice located at 14500 99Th Ave N Ste 100 , Maple Grove MN 55369-4738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is her primary health care specialty. Jacobsen, Kimberly can be contacted via phone (763) 898-1000.Contact Information
Primary practice address
14500 99Th Ave N Ste 100
Maple Grove MN 55369-4738
Phone: (763) 898-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60825838 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | MD60825838 | Washington |
Profile Details
| NPI number | 1386945004 |
|---|---|
| LBN Legal business name | Jacobsen, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Nov 10th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386945004 | NPPES |
| Washington | MEDICAID | 1386945004 |
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