Jacobson-Dunlop, Erick Samuel

Jacobson-Dunlop, Erick Samuel is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Jacobson-Dunlop, Erick Samuel can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD41691 Iowa
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD161051 Oregon
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 557781 Minnesota

Profile Details

NPI number 1538301973
LBN Legal business name Jacobson-Dunlop, Erick Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jul 16th, 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 1538301973 NPPES
Minnesota MEDICAID 1538301973

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