Jacobson, Eric

Jacobson, Eric is an individual health care provider with primary practice located at 3905 Ford Rd , Philadelphia PA 19131-2824. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Jacobson, Eric can be contacted via phone (215) 643-5400.

Contact Information

Primary practice address
3905 Ford Rd Philadelphia PA 19131-2824
Phone: (215) 643-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS015808 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS015808 Pennsylvania

Profile Details

NPI number 1841332715
LBN Legal business name Jacobson, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 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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