Jacobsen, Leah M

Jacobsen, Leah M is an individual health care provider with primary practice located at 1701 11Th Ave S , Great Falls MT 59405-4849. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Jacobsen, Leah M can be contacted via phone (406) 761-0611.

Contact Information

Primary practice address
1701 11Th Ave S Great Falls MT 59405-4849
Phone: (406) 761-0611
Fax: (406) 761-7972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU1077 Montana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU 1077 Montana

Profile Details

NPI number 1831190792
LBN Legal business name Jacobsen, Leah M
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Dec 15th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831190792 NPPES
Montana Other 290618 BLUE CROSS BLUE SHIELD
Montana Other 1831190792 BLUE CROSS BLUE SHIELD
Montana MEDICAID 1831190792 BLUE CROSS BLUE SHIELD

Popular Providers