Jacobson, Jon R

Jacobson, Jon R is an sole proprietor health care provider with primary practice located at 1512 N Green Mount Rd , O Fallon IL 62269-2083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Jacobson, Jon R can be contacted via phone (618) 628-8440.

Contact Information

Primary practice address
1512 N Green Mount Rd O Fallon IL 62269-2083
Phone: (618) 628-8440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036149530 Illinois

Profile Details

NPI number 1780753822
LBN Legal business name Jacobson, Jon R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Dec 30th, 2021 - about 4 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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