Jacobson, Abby
Jacobson, Abby is an sole proprietor health care provider with primary practice located at 63 Harmony Hill Rd , Chepachet RI 02814-1429. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jacobson, Abby can be contacted via phone (401) 949-0690.Contact Information
Primary practice address
63 Harmony Hill Rd
Chepachet RI 02814-1429
Phone: (401) 949-0690
Fax: (401) 949-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 000121 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000121 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDP00512 | Rhode Island |
Profile Details
| NPI number | 1962520874 |
|---|---|
| LBN Legal business name | Jacobson, Abby |
| Credentials | MA, LCDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Mar 13th, 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 | 1962520874 | NPPES |
| Vermont | Other | 2033065 | CIGNA |
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