Jacobson, Mitchell Scott
Jacobson, Mitchell Scott is an individual health care provider with primary practice located at 6 Essex Center Dr Suite 306, Peabody MA 01960-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jacobson, Mitchell Scott can be contacted via phone (978) 531-0677.Contact Information
Primary practice address
6 Essex Center Dr Suite 306
Peabody MA 01960-2910
Phone: (978) 531-0677
Fax: (978) 531-5676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 150166 | Massachusetts |
Profile Details
| NPI number | 1396774931 |
|---|---|
| LBN Legal business name | Jacobson, Mitchell Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396774931 | NPPES |
| Massachusetts | MEDICAID | 3178102 |
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