Jacobson, John Russell
Jacobson, John Russell is an sole proprietor health care provider with primary practice located at 14 Acorn Dr , East Northport NY 11731-1302. He recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as his primary health care specialty. Jacobson, John Russell can be contacted via phone (631) 754-5892.Contact Information
Primary practice address
14 Acorn Dr
East Northport NY 11731-1302
Phone: (631) 754-5892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X | 008596-1 | New York |
Profile Details
| NPI number | 1508992173 |
|---|---|
| LBN Legal business name | Jacobson, John Russell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 9th, 2007 - 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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