Jacobson, Howard A
Jacobson, Howard A is an sole proprietor health care provider with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobson, Howard A can be contacted via phone (864) 546-7315.Contact Information
Primary practice address
1025 Verdae Blvd Suite A
Greenville SC 29607-4032
Phone: (864) 546-7315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1110 | South Carolina |
Profile Details
| NPI number | 1366453110 |
|---|---|
| LBN Legal business name | Jacobson, Howard A |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 22nd, 2009 - about 16 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 | 1366453110 | NPPES |
| Tennessee | Other | 2009378 | BCBST |
| Tennessee | MEDICAID | 3682434 | BCBST |
| Tennessee | Other | 4064458 | BCBST |
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