Jacobson, Michelle Christine

Jacobson, Michelle Christine is an individual health care provider with primary practice located at 1375 E 19Th Ave , Denver CO 80218-1114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jacobson, Michelle Christine can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 19Th Ave Denver CO 80218-1114
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301084104 Michigan
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 4301084104 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50503 Colorado

Profile Details

NPI number 1639387848
LBN Legal business name Jacobson, Michelle Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2007
Last updated Jun 11th, 2021 - about 3 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 1639387848 NPPES
Colorado MEDICAID 02528517
Colorado MEDICAID 1639387848
Colorado Other 022197
Colorado Other 1417961137

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