Jacobson, Edward L

Jacobson, Edward L is an individual health care provider with primary practice located at 961 Spring Creek Rd Galen Medical Group, Chattanooga TN 37412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jacobson, Edward L can be contacted via phone (423) 892-2221.

Contact Information

Primary practice address
961 Spring Creek Rd Galen Medical Group Chattanooga TN 37412
Phone: (423) 892-2221
Fax: (423) 490-3407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28164 Tennessee

Profile Details

NPI number 1346214665
LBN Legal business name Jacobson, Edward L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1346214665 NPPES
Tennessee MEDICAID 3806302

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