Jacobson, Stuart Andrew

Jacobson, Stuart Andrew is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacobson, Stuart Andrew can be contacted via phone (360) 514-4724.

Contact Information

Primary practice address
400 Ne Mother Joseph Pl Vancouver WA 98664-3200
Fax: (360) 514-6530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X H3897 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD61549359 Washington

Profile Details

NPI number 1841327210
LBN Legal business name Jacobson, Stuart Andrew
Credentials MD FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 22nd, 2024 - about last year

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 1841327210 NPPES
Texas MEDICAID 132470903

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