Jacobsen, William M
Jacobsen, William M is an individual health care provider with primary practice located at 2400 E Arizona Biltmore Cir Suite 2450, Phoenix AZ 85016-2107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobsen, William M can be contacted via phone (602) 212-0100.Contact Information
Primary practice address
2400 E Arizona Biltmore Cir Suite 2450
Phoenix AZ 85016-2107
Phone: (602) 212-0100
Fax: (602) 279-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 21620 | Arizona |
Profile Details
| NPI number | 1639176894 |
|---|---|
| LBN Legal business name | Jacobsen, William M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639176894 | NPPES |
| Arizona | MEDICAID | 167850 |
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