Jacobson, William C

Jacobson, William C is an sole proprietor health care provider with primary practice located at 12499 University Ave Suite 210, Des Moines IA 50325-8281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jacobson, William C can be contacted via phone (515) 440-2676.

Contact Information

Primary practice address
12499 University Ave Suite 210 Des Moines IA 50325-8281
Phone: (515) 440-2676
Fax: (515) 440-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 33389 Iowa

Profile Details

NPI number 1790749448
LBN Legal business name Jacobson, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Jan 22nd, 2013 - about 12 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 1790749448 NPPES
Iowa Other 200044900 RAILROAD MEDICARE
Iowa Other 43972 RAILROAD MEDICARE
Iowa MEDICAID 2205187 RAILROAD MEDICARE

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