Jacobson, Michael Duane

Jacobson, Michael Duane is an individual health care provider with primary practice located at 2261 Philadelphia Dr , Dayton OH 45406-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Jacobson, Michael Duane can be contacted via phone (937) 734-6700.

Contact Information

Primary practice address
2261 Philadelphia Dr Dayton OH 45406-1814
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 34. 005720 Ohio

Profile Details

NPI number 1639390651
LBN Legal business name Jacobson, Michael Duane
Credentials D.O. MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Apr 5th, 2018 - about 6 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 1639390651 NPPES
Ohio MEDICAID 0249609

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