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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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 1639176894 NPPES
Arizona MEDICAID 167850

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