Jacobson, Linda A

Jacobson, Linda A is an individual health care provider with primary practice located at 451 State St , North Haven CT 06473-3019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacobson, Linda A can be contacted via phone (203) 248-8888.

Contact Information

Primary practice address
451 State St North Haven CT 06473-3019
Phone: (203) 248-8888
Fax: (203) 248-8889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 000895 Connecticut

Profile Details

NPI number 1659435600
LBN Legal business name Jacobson, Linda A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 8th, 2011 - about 15 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 1659435600 NPPES
Connecticut MEDICAID 008035017

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