Jacobson, Matthew Elmo
Jacobson, Matthew Elmo is an sole proprietor health care provider with primary practice located at 21360 N 1450 E , Moroni UT 84646-0461. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jacobson, Matthew Elmo can be contacted via phone (435) 445-5200.Contact Information
Primary practice address
21360 N 1450 E
Moroni UT 84646-0461
Phone: (435) 445-5200
Fax: (435) 445-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1952672735 |
|---|---|
| LBN Legal business name | Jacobson, Matthew Elmo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2012 |
| Last updated | Jan 25th, 2012 - about 12 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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