Jacobson, Mark

Jacobson, Mark is an sole proprietor health care provider with primary practice located at 234 1/2 Washington Ave , Grand Haven MI 49417-3307. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jacobson, Mark can be contacted via phone (616) 607-4476.

Contact Information

Primary practice address
234 1/2 Washington Ave Grand Haven MI 49417-3307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301007693 Michigan

Profile Details

NPI number 1528480944
LBN Legal business name Jacobson, Mark
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2014
Last updated Jan 21st, 2014 - about 11 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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