Jacobsen, Paula I

Jacobsen, Paula I is an individual health care provider with primary practice located at 704 Crosstown Ave , Silvis IL 61282-1651. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacobsen, Paula I can be contacted via phone (309) 796-1444.

Contact Information

Primary practice address
704 Crosstown Ave Silvis IL 61282-1651
Fax: (309) 796-1496
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008226 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 1896 Iowa

Profile Details

NPI number 1790771384
LBN Legal business name Jacobsen, Paula I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 9th, 2023 - about 2 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 1790771384 NPPES
Illinois Other 08184019 BLUE CROSS BLUE SHIELD OF IL

Popular Providers