Jacobson, Martin A

Jacobson, Martin A is an individual health care provider with primary practice located at 1410 Bacon Park Dr , Savannah GA 31406-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jacobson, Martin A can be contacted via phone (843) 240-2802.

Contact Information

Primary practice address
1410 Bacon Park Dr Savannah GA 31406-2008
Phone: (843) 240-2802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20613 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 062364 Georgia

Profile Details

NPI number 1811951593
LBN Legal business name Jacobson, Martin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jan 27th, 2010 - 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 1811951593 NPPES
Georgia MEDICAID 305678198B
Georgia Other P00778515
Georgia MEDICAID 305678198A
Georgia Other 582203199-009
Georgia MEDICAID 206137
Georgia Other 582203199-004

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