Jacobson, Kirk L

Jacobson, Kirk L is an individual health care provider with primary practice located at 403 Stageline Rd , Hudson WI 54016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jacobson, Kirk L can be contacted via phone (715) 531-6800.

Contact Information

Primary practice address
403 Stageline Rd Hudson WI 54016
Phone: (715) 531-6800
Fax: (715) 531-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31131 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 36347 Minnesota

Profile Details

NPI number 1508839994
LBN Legal business name Jacobson, Kirk L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 22nd, 2009 - 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 1508839994 NPPES
Wisconsin MEDICAID 31596400

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