Jacobson, Heidi L
Jacobson, Heidi L is an sole proprietor health care provider with primary practice located at 310 E 6Th St #202, Medford OR 97501-5933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jacobson, Heidi L can be contacted via phone (541) 245-2787.Contact Information
Primary practice address
310 E 6Th St #202
Medford OR 97501-5933
Phone: (541) 245-2787
Fax: (541) 899-3243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16508 | Oregon |
Profile Details
| NPI number | 1689654022 |
|---|---|
| LBN Legal business name | Jacobson, Heidi L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 27th, 2020 - about 4 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 | 1689654022 | NPPES |
| Oregon | Other | 005591010 | REGENCE BLUE CROSS |
| Oregon | MEDICAID | 011895 | REGENCE BLUE CROSS |
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