Jacobson, Mark Edward

Jacobson, Mark Edward is an individual health care provider with primary practice located at 30575 Woodward Ave Ste 100 , Royal Oak MI 48073-0986. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jacobson, Mark Edward can be contacted via phone (248) 280-8550.

Contact Information

Primary practice address
30575 Woodward Ave Ste 100 Royal Oak MI 48073-0986
Phone: (248) 280-8550
Fax: (248) 280-8571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57.014767 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 4301105117 Michigan

Profile Details

NPI number 1053561449
LBN Legal business name Jacobson, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Jul 8th, 2021 - about 3 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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