Jacobsen, Wayne
Jacobsen, Wayne is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jacobsen, Wayne can be contacted via phone (520) 874-3500.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-0001
Phone: (520) 874-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 31958 | Arizona |
Profile Details
| NPI number | 1295700839 |
|---|---|
| LBN Legal business name | Jacobsen, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | May 30th, 2008 - about 16 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 | 1295700839 | NPPES |
| Arizona | Other | P00066562 | RR MEDICARE |
| Arizona | MEDICAID | 152273 | RR MEDICARE |
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