Jacobson, Elizabeth Broadaway

Jacobson, Elizabeth Broadaway is an individual health care provider with primary practice located at 125 Presumpscot St , Portland ME 04103-5225. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jacobson, Elizabeth Broadaway can be contacted via phone (207) 699-5531.

Contact Information

Primary practice address
125 Presumpscot St Portland ME 04103-5225
Phone: (207) 699-5531
Fax: (207) 699-5529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT2306 Maine

Profile Details

NPI number 1427286889
LBN Legal business name Jacobson, Elizabeth Broadaway
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Jun 24th, 2009 - about 15 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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