Jacobson, Bruce Robert

Jacobson, Bruce Robert is an sole proprietor health care provider with primary practice located at 36100 Euclid Ave Suite 450, Willoughby OH 44094-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacobson, Bruce Robert can be contacted via phone (440) 946-9555.

Contact Information

Primary practice address
36100 Euclid Ave Suite 450 Willoughby OH 44094-4456
Phone: (440) 946-9555
Fax: (440) 946-2223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35048289 Ohio

Profile Details

NPI number 1760467484
LBN Legal business name Jacobson, Bruce Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Feb 27th, 2014 - about 11 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 1760467484 NPPES
Ohio MEDICAID 0602351

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