Jacobson, Allyn Howard

Jacobson, Allyn Howard is an sole proprietor health care provider with primary practice located at 9529 Sw 160Th St , Miami FL 33157-3350. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jacobson, Allyn Howard can be contacted via phone (305) 238-2121.

Contact Information

Primary practice address
9529 Sw 160Th St Miami FL 33157-3350
Fax: (305) 238-2123
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC1033 Florida

Profile Details

NPI number 1972684405
LBN Legal business name Jacobson, Allyn Howard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Feb 8th, 2010 - about 14 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 1972684405 NPPES
Florida MEDICAID 084493400

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