Jacobson, Stephen Eric

Jacobson, Stephen Eric is an individual health care provider with primary practice located at 39890 W 14 Mile Rd. , Walled Lake MI 48390-3911. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jacobson, Stephen Eric can be contacted via phone (248) 624-8090.

Contact Information

Primary practice address
39890 W 14 Mile Rd. Walled Lake MI 48390-3911
Phone: (248) 624-8090
Fax: (248) 624-8288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14257 Michigan

Profile Details

NPI number 1528077435
LBN Legal business name Jacobson, Stephen Eric
Credentials D.D.S. PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated May 4th, 2022 - about 3 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 1528077435 NPPES
Michigan Other 723815 UNITED CONCORDIA

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