Jacobson, Alan C

Jacobson, Alan C is an individual health care provider with primary practice located at 2285 Sequoia Dr , Aurora IL 60506-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Jacobson, Alan C can be contacted via phone (630) 859-6942.

Contact Information

Primary practice address
2285 Sequoia Dr Aurora IL 60506-6209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036-112964 Illinois

Profile Details

NPI number 1770501900
LBN Legal business name Jacobson, Alan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 18th, 2021 - about 3 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 1770501900 NPPES
Illinois Other 04515143 BCBS#
Illinois MEDICAID 036112964 BCBS#

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