Jacobson, Maynard E

Jacobson, Maynard E is an sole proprietor health care provider with primary practice located at 3 Angell Ct , Sunfish Lake MN 55118-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jacobson, Maynard E can be contacted via phone (651) 451-7401.

Contact Information

Primary practice address
3 Angell Ct Sunfish Lake MN 55118-4701
Fax: (651) 451-8832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13512 Minnesota

Profile Details

NPI number 1982933198
LBN Legal business name Jacobson, Maynard E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2009
Last updated Dec 17th, 2009 - 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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