Jacobson, Michele
Jacobson, Michele is an individual health care provider with primary practice located at 420 Se 18Th Street , Fort Lauderdale FL 33316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jacobson, Michele can be contacted via phone (954) 522-4749.Contact Information
Primary practice address
420 Se 18Th Street
Fort Lauderdale FL 33316
Phone: (954) 522-4749
Fax: (954) 497-3857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1295863801 |
|---|---|
| LBN Legal business name | Jacobson, Michele |
| Credentials | L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1295863801 | NPPES |
| Florida | MEDICAID | 768055400 |
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