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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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