Jacobson, Carmen Jean

Jacobson, Carmen Jean is an individual health care provider with primary practice located at 2550 University Ave W Suite 110N, Saint Paul MN 55114-1052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jacobson, Carmen Jean can be contacted via phone (651) 602-5311.

Contact Information

Primary practice address
2550 University Ave W Suite 110N Saint Paul MN 55114-1052
Phone: (651) 602-5311
Fax: (651) 222-6786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9775 Minnesota

Profile Details

NPI number 1063510550
LBN Legal business name Jacobson, Carmen Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063510550 NPPES
Minnesota MEDICAID 127392200

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