Jacobson, John

Jacobson, John is an individual health care provider with primary practice located at 1400 Bellinger St , Eau Claire WI 54703-5222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jacobson, John can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
1400 Bellinger St Eau Claire WI 54703-5222
Phone: (715) 838-5222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD10574 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25304-20 Wisconsin

Profile Details

NPI number 1508829748
LBN Legal business name Jacobson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 17th, 2023 - about last year

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 1508829748 NPPES
Oregon MEDICAID 149120
Oregon Other 208973
Oregon Other 858543009
Oregon MEDICAID 8142002
Oregon Other P00232007

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