Jacobson, John Garth

Jacobson, John Garth is an individual health care provider with primary practice located at 6 Woodland Rd Suite #101, Saint Helena CA 94574-9501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Jacobson, John Garth can be contacted via phone (707) 963-6303.

Contact Information

Primary practice address
6 Woodland Rd Suite #101 Saint Helena CA 94574-9501
Phone: (707) 963-6303
Fax: (707) 963-1492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G22916 California

Profile Details

NPI number 1528048659
LBN Legal business name Jacobson, John Garth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 30th, 2008 - about 17 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 1528048659 NPPES
California MEDICAID 00G229160

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