Jacobson, Eric Dudley
Jacobson, Eric Dudley is an individual health care provider with primary practice located at 809 West Stetson Avenue Suite B Apex Radiology Medical Group, Inc, Hemet CA 92543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jacobson, Eric Dudley can be contacted via phone (951) 537-6002.Contact Information
Primary practice address
809 West Stetson Avenue Suite B Apex Radiology Medical Group, Inc
Hemet CA 92543
Phone: (951) 537-6002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G63250 | California |
Profile Details
| NPI number | 1093759151 |
|---|---|
| LBN Legal business name | Jacobson, Eric Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 28th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093759151 | NPPES |
| California | Other | 00G632502 | MEDICARE PTAN |
| California | Other | 300116435 | MEDICARE PTAN |
| California | Other | 00G632501 | MEDICARE PTAN |
| California | Other | 300116419 | MEDICARE PTAN |
| California | Other | 300116433 | MEDICARE PTAN |
| California | MEDICAID | 00G632500 | MEDICARE PTAN |
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