Jacobson, Steven R
Jacobson, Steven R is an sole proprietor health care provider with primary practice located at 2518 Superior Dr Nw Ste 104 , Rochester MN 55901-1997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobson, Steven R can be contacted via phone (507) 398-1900.Contact Information
Primary practice address
2518 Superior Dr Nw Ste 104
Rochester MN 55901-1997
Phone: (507) 398-1900
Fax: (507) 722-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 43676 | Minnesota |
Profile Details
| NPI number | 1104899830 |
|---|---|
| LBN Legal business name | Jacobson, Steven R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 14th, 2018 - about 6 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 | 1104899830 | NPPES |
| Minnesota | Other | 020050087 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 699480600 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 35351400 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | ENROLLED | RAILROAD MEDICARE |
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