Jacobson, Kippen Marshall

Jacobson, Kippen Marshall is an individual health care provider with primary practice located at Mile 187 Glenn Hwy , Glennallen AK 99588-0589. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jacobson, Kippen Marshall can be contacted via phone (907) 822-3203.

Contact Information

Primary practice address
Mile 187 Glenn Hwy Glennallen AK 99588-0589
Phone: (907) 822-3203
Fax: (907) 822-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 960 Alaska

Profile Details

NPI number 1497802920
LBN Legal business name Jacobson, Kippen Marshall
Credentials NP C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Nov 11th, 2008 - about 16 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 1497802920 NPPES
Alaska Other 1497802920 NPI NUMBER
Alaska Other K161914 NPI NUMBER
Alaska MEDICAID RH047FQ NPI NUMBER

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