Jacobson, Elaine Zeporah
Jacobson, Elaine Zeporah is an sole proprietor health care provider with primary practice located at 1 Greencroft Dr , Champaign IL 61821-5118. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jacobson, Elaine Zeporah can be contacted via phone (217) 359-0691.Contact Information
Primary practice address
1 Greencroft Dr
Champaign IL 61821-5118
Phone: (217) 359-0691
Fax: (217) 359-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1386777167 |
|---|---|
| LBN Legal business name | Jacobson, Elaine Zeporah |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| 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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