Jacobson, Rena L.
Jacobson, Rena L. is an individual health care provider with primary practice located at 341 State Rd , Dartmouth MA 02747-4319. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jacobson, Rena L. can be contacted via phone (508) 996-0389.Contact Information
Primary practice address
341 State Rd
Dartmouth MA 02747-4319
Phone: (508) 996-0389
Fax: (508) 997-0429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 566 | Massachusetts |
Profile Details
| NPI number | 1407835481 |
|---|---|
| LBN Legal business name | Jacobson, Rena L. |
| Credentials | AUD, FAAA, CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Mar 12th, 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 | 1407835481 | NPPES |
| Massachusetts | MEDICAID | 5104530 |
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