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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1538301973 | NPPES |
Minnesota | MEDICAID | 1538301973 |
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