Jacobson, Jonathan M
Jacobson, Jonathan M is an individual health care provider with primary practice located at 148 Worcester St , West Boylston MA 01583-1751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Jacobson, Jonathan M can be contacted via phone (508) 835-1735.Contact Information
Primary practice address
148 Worcester St
West Boylston MA 01583-1751
Phone: (508) 835-1735
Fax: (508) 835-1736
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 227913 | Massachusetts |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 227913 | Massachusetts |
Profile Details
NPI number | 1336196716 |
---|---|
LBN Legal business name | Jacobson, Jonathan M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Aug 8th, 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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