Jacobson, Paul Anders
Jacobson, Paul Anders is an individual health care provider with primary practice located at 701 W Front St Suite 100, Traverse City MI 49684-2236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Jacobson, Paul Anders can be contacted via phone (231) 935-0800.Contact Information
Primary practice address
701 W Front St Suite 100
Traverse City MI 49684-2236
Phone: (231) 935-0800
Fax: (231) 935-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 4301076134 | Michigan |
Profile Details
| NPI number | 1629074190 |
|---|---|
| LBN Legal business name | Jacobson, Paul Anders |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 22nd, 2020 - about 4 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 | 1629074190 | NPPES |
| Michigan | MEDICAID | 4212842 | |
| Michigan | Other | 0B81023 |
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