Jacobson, Martin A
Jacobson, Martin A is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jacobson, Martin A can be contacted via phone (920) 288-5656.Contact Information
Primary practice address
1160 Kepler Dr
Green Bay WI 54311-8321
Phone: (920) 288-5656
Fax: (920) 288-5657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2782 | Wisconsin |
Profile Details
| NPI number | 1104862929 |
|---|---|
| LBN Legal business name | Jacobson, Martin A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104862929 | NPPES |
| Wisconsin | MEDICAID | 38871600 |
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