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
Phone: (651) 451-7401
Fax: (651) 451-8832
Website:
Health care specialties
Specialty | Code | License # | 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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