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
Phone: (937) 734-6700
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639390651 | NPPES |
Ohio | MEDICAID | 0249609 |
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