Jacobson, George R
Jacobson, George R is an individual health care provider with primary practice located at 1155 N Mayfair Rd Department Of Psychiatry, Milwaukee WI 53226-3462. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jacobson, George R can be contacted via phone (414) 955-8900.Contact Information
Primary practice address
1155 N Mayfair Rd Department Of Psychiatry
Milwaukee WI 53226-3462
Phone: (414) 955-8900
Fax: (414) 955-6285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0482 | Wisconsin |
Profile Details
| NPI number | 1811948656 |
|---|---|
| LBN Legal business name | Jacobson, George R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 7th, 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 | 1811948656 | NPPES |
| Wisconsin | MEDICAID | 1811948656 |
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