Jacobson, Jerry Irving

Jacobson, Jerry Irving is an individual health care provider with primary practice located at 1633 S Court St , Visalia CA 93277-4945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jacobson, Jerry Irving can be contacted via phone (559) 635-6090.

Contact Information

Primary practice address
1633 S Court St Visalia CA 93277-4945
Phone: (559) 635-6090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C41921 California

Profile Details

NPI number 1285644617
LBN Legal business name Jacobson, Jerry Irving
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 25th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285644617 NPPES
California MEDICAID 00C419210

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