Jacobson, Michael Evan

Jacobson, Michael Evan is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jacobson, Michael Evan can be contacted via phone (402) 354-4424.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 354-4424
Fax: (402) 354-4435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 809 Nebraska
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689870289
LBN Legal business name Jacobson, Michael Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Dec 13th, 2013 - about 11 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 1689870289 NPPES
Nebraska Other 1689870289 WELLMARK
Nebraska MEDICAID 1689870289 WELLMARK
Nebraska MEDICAID 470376604-12 WELLMARK

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