Jacobson, Richard David

Jacobson, Richard David is an individual health care provider with primary practice located at 4228 Brookfield Dr , Charlotte NC 28210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Jacobson, Richard David can be contacted via phone (615) 345-5400.

Contact Information

Primary practice address
4228 Brookfield Dr Charlotte NC 28210
Phone: (615) 345-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 31216 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME127847 Florida
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X ME127847 Florida
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 01389 North Carolina

Profile Details

NPI number 1013968858
LBN Legal business name Jacobson, Richard David
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013968858 NPPES
North Carolina MEDICAID 5915702
North Carolina Other ME127847

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