Jacobson, Dan G.

Jacobson, Dan G. is an individual health care provider with primary practice located at 2960 Ne Heather Ct , Jensen Beach FL 34957-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacobson, Dan G. can be contacted via phone (772) 285-9665.

Contact Information

Primary practice address
2960 Ne Heather Ct Jensen Beach FL 34957-5066
Phone: (772) 285-9665
Fax: (772) 334-7232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0036695 Florida

Profile Details

NPI number 1194728170
LBN Legal business name Jacobson, Dan G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 19th, 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 1194728170 NPPES
Florida Other ME0036695 WORKMANS COMP
Florida Other 01280 WORKMANS COMP
Florida MEDICAID 066502900 WORKMANS COMP

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