Jacobson, Jason
Jacobson, Jason is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 3850S, Hawthorne NY 10532-2140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Jacobson, Jason can be contacted via phone (914) 909-6900.Contact Information
Primary practice address
19 Bradhurst Ave Suite 3850S
Hawthorne NY 10532-2140
Phone: (914) 909-6900
Fax: (914) 493-2828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 215349 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-115096 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036-115096 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 215349 | New York |
Profile Details
| NPI number | 1588684260 |
|---|---|
| LBN Legal business name | Jacobson, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 29th, 2021 - about 3 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 | 1588684260 | NPPES |
| Florida | Other | ME110088 | MEDICAL LICENSE |
| Florida | MEDICAID | 003947600 | MEDICAL LICENSE |
| Florida | MEDICAID | 03917264 | MEDICAL LICENSE |
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