Jacobson, Caren G
Jacobson, Caren G is an individual health care provider with primary practice located at 150 Park St , Lawrence MA 01841-2517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jacobson, Caren G can be contacted via phone (978) 685-1770.Contact Information
Primary practice address
150 Park St
Lawrence MA 01841-2517
Phone: (978) 685-1770
Fax: (978) 682-5787
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 72992 | Massachusetts |
Profile Details
NPI number | 1992797245 |
---|---|
LBN Legal business name | Jacobson, Caren G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Mar 11th, 2014 - about 10 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 | 1992797245 | NPPES |
Massachusetts | MEDICAID | 1303775 |
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