Jacobson, Ira Joel

Jacobson, Ira Joel is an individual health care provider with primary practice located at 7431-33 West Atlantic Ave , Delray Beach FL 33446-3505. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jacobson, Ira Joel can be contacted via phone (561) 496-6900.

Contact Information

Primary practice address
7431-33 West Atlantic Ave Delray Beach FL 33446-3505
Phone: (561) 496-6900
Fax: (561) 496-5348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00001689 Florida

Profile Details

NPI number 1427030659
LBN Legal business name Jacobson, Ira Joel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427030659 NPPES
Florida Other 03288 WELLCARE ID
Florida MEDICAID 029691100 WELLCARE ID

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