Jacobson, Justin A.

Jacobson, Justin A. is an individual health care provider with primary practice located at 2831 Fort Missoula Road Suite 232, Missoula MT 59804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jacobson, Justin A. can be contacted via phone (406) 728-6101.

Contact Information

Primary practice address
2831 Fort Missoula Road Suite 232 Missoula MT 59804
Phone: (406) 728-6101
Fax: (406) 721-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 104281 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52250 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12306 Montana

Profile Details

NPI number 1578572129
LBN Legal business name Jacobson, Justin A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 30th, 2012 - about 13 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 1578572129 NPPES
Montana MEDICAID 157857219
Montana MEDICAID ENROLLED
Montana MEDICAID ENROLLED

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