Jacobson, David M
Jacobson, David M is an individual health care provider with primary practice located at 1600 North Main , Lovington NM 88260-2830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jacobson, David M can be contacted via phone (575) 396-6611.Contact Information
Primary practice address
1600 North Main
Lovington NM 88260-2830
Phone: (575) 396-6611
Fax: (575) 396-1454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 267245 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A-1982-16 | New Mexico |
Profile Details
| NPI number | 1306154703 |
|---|---|
| LBN Legal business name | Jacobson, David M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2010 |
| Last updated | Mar 8th, 2017 - about 8 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 | 1306154703 | NPPES |
| New Mexico | MEDICAID | 23030569 |
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