Jacobsen, Steven Vergil
Jacobsen, Steven Vergil is an individual health care provider with primary practice located at 1445 N Bell St , Fremont NE 68025-3534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobsen, Steven Vergil can be contacted via phone (402) 727-9220.Contact Information
Primary practice address
1445 N Bell St
Fremont NE 68025-3534
Phone: (402) 727-9220
Fax: (402) 727-5625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 780 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01542 | Iowa |
Profile Details
| NPI number | 1194731232 |
|---|---|
| LBN Legal business name | Jacobsen, Steven Vergil |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 19th, 2012 - about 12 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 | 1194731232 | NPPES |
| Nebraska | Other | 410016544 | PALMETTO GBA RAILROAD MED |
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