Jacobson, Richard

Jacobson, Richard is an individual health care provider with primary practice located at 17951 Jefferson Park Rd Ste 100 , Middleburg Heights OH 44130-8439. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jacobson, Richard can be contacted via phone (440) 879-8517.

Contact Information

Primary practice address
17951 Jefferson Park Rd Ste 100 Middleburg Heights OH 44130-8439
Phone: (440) 879-8517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1699462853
LBN Legal business name Jacobson, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2023
Last updated Jun 4th, 2024 - about 3 months 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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