Jacobson, Kenneth H

Jacobson, Kenneth H is an individual health care provider with primary practice located at 550 1St Ave , New York NY 10016-6402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Jacobson, Kenneth H can be contacted via phone (212) 263-5072.

Contact Information

Primary practice address
550 1St Ave New York NY 10016-6402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L2345 Texas
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X L2345 Texas

Profile Details

NPI number 1003909193
LBN Legal business name Jacobson, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 29th, 2022 - about 2 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 1003909193 NPPES
Texas Other 124217 SUPERIOR PIN
Texas Other 1447220850 SUPERIOR PIN
Texas Other 1950571 SUPERIOR PIN
Texas Other 10030778 SUPERIOR PIN
Texas Other 7067290 SUPERIOR PIN
Texas Other 0324290 SUPERIOR PIN
Texas MEDICAID 147834901 SUPERIOR PIN
Texas Other 1192925 SUPERIOR PIN
Texas MEDICAID 140442853 SUPERIOR PIN
Texas Other 00N47F SUPERIOR PIN
Texas MEDICAID 147834902 SUPERIOR PIN
Texas Other 115891100 SUPERIOR PIN
Texas MEDICAID 137345809 SUPERIOR PIN
Texas Other 88413Y SUPERIOR PIN
Texas Other 9187586 SUPERIOR PIN

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