Jacobson, Lance Glen
Jacobson, Lance Glen is an individual health care provider with primary practice located at 3200 Channing Way Ste A205 , Idaho Falls ID 83404-7586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jacobson, Lance Glen can be contacted via phone (208) 535-4580.Contact Information
Primary practice address
3200 Channing Way Ste A205
Idaho Falls ID 83404-7586
Phone: (208) 535-4580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | M-14018 | Idaho |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M-14018 | Idaho |
Profile Details
NPI number | 1689940405 |
---|---|
LBN Legal business name | Jacobson, Lance Glen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2012 |
Last updated | Sep 14th, 2023 - about last year |
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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