Jacobson, Earl

Jacobson, Earl is an sole proprietor health care provider with primary practice located at 3650 S Eastern Ave # 200, Las Vegas NV 89169-3345. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jacobson, Earl can be contacted via phone (702) 384-2544.

Contact Information

Primary practice address
3650 S Eastern Ave # 200 Las Vegas NV 89169-3345
Fax: (702) 384-8528
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 43 Nevada

Profile Details

NPI number 1487682662
LBN Legal business name Jacobson, Earl
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Apr 1st, 2024 - about 8 months 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 1487682662 NPPES
Nevada MEDICAID 002102804
Nevada Other 756480688

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