Jacobson, Ronald
Jacobson, Ronald is an sole proprietor health care provider with primary practice located at 4200 W Peterson Ave Suite 116, Chicago IL 60646-6074. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jacobson, Ronald can be contacted via phone (773) 545-5333.Contact Information
Primary practice address
4200 W Peterson Ave Suite 116
Chicago IL 60646-6074
Phone: (773) 545-5333
Fax: (773) 545-3636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021001468 | Illinois |
Profile Details
| NPI number | 1821120122 |
|---|---|
| LBN Legal business name | Jacobson, Ronald |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jun 9th, 2008 - about 17 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 | 1821120122 | NPPES |
| Illinois | Other | 01901183 | LICENSE NUMBER |
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