Jacobsen, Stephen Peter

Jacobsen, Stephen Peter is an individual health care provider with primary practice located at 14535A Hazel Dell Pkwy , Carmel IN 46033-9401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jacobsen, Stephen Peter can be contacted via phone (317) 770-3777.

Contact Information

Primary practice address
14535A Hazel Dell Pkwy Carmel IN 46033-9401
Fax: (317) 705-4391
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01070923 Indiana

Profile Details

NPI number 1033377791
LBN Legal business name Jacobsen, Stephen Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Sep 18th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033377791 NPPES
Indiana MEDICAID 201072270

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