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
Phone: (309) 796-1444
Fax: (309) 796-1496
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790771384 | NPPES |
Illinois | Other | 08184019 | BLUE CROSS BLUE SHIELD OF IL |
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