Jacobsen, Paul
Jacobsen, Paul is an individual health care provider with primary practice located at 505 Ne 87Th Ave Ste. 460, Vancouver WA 98664-1989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jacobsen, Paul can be contacted via phone (360) 256-8865.Contact Information
Primary practice address
505 Ne 87Th Ave Ste. 460
Vancouver WA 98664-1989
Phone: (360) 256-8865
Fax: (360) 256-7127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00026501 | Washington |
Profile Details
| NPI number | 1255391819 |
|---|---|
| LBN Legal business name | Jacobsen, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | May 7th, 2010 - about 14 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 | 1255391819 | NPPES |
| Washington | MEDICAID | 8150039 |
Popular Providers
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Dietrich, Marlene
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505 Ne 87Th Ave Bldg A, Suite 460, Vancouver WA 98664-1989